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HomeMy WebLinkAboutMiscellaneous - 46 HOLLY RIDGE ROAD 4/30/2018 46 HOLLY RIDGE ROAD 210/038.0 0251-0000.0 Date... Of TOWN OF NORTH ANDOVER 1 PERMIT FOR WIRING CHU5�St Y CA Vk Thiscertifies that ................................................................ ........................... has permission to perform .. . ........................ .` ?J '. °! /L-...... 5,..! r wiring in the building of... ....... .................................... at .:` ... t 0. 1,.`., t., , North Andover,Mass. Fee...2.. ...........Lic.No.Z .. . ............................................................................... ' ELECTRICAL INSPECTOR Check# 47W, lfommonwea&of M7aieachu.4elte Official Use Only Apartment ol,_tire�ervicee Permit No. ��Z7iLj . � Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/25/16 City or Town of. North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Holly Location(Street&Number)46 Hoy Rid ga Rd. Owner or Tenant Paul W. 0 e Telephone No. Owner's Address 46 Holly Ridge HCI. Northn over, MA U1 84b Is this permit in conjunction with a building permit? Yes FVJ No ❑ (Check Appropriate Box) Purpose of Building PV Solar System Utility Authorization No. Existing Service 200 Amps 120 / 240Volts Overhead ❑ Undgrd❑✓ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of a safe and code compliant, grid tied PV solar system on'and existing residential roof. 31 panels r Completion of the followingtable may be waived by the Inspector of Wires. No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- El o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No. of Oil Burners FIRE ALARMS No.of Zones No.of Switches No. of Gas Burners No.of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices Tons No. of Waste Disposers Heat PumNumber Tons KW No. of Self-Contained Totals Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local Municipal El El Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No. of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: $21000 Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start.4/11/16 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑✓ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. { FIRM NAME: Skyline Solar LLC LIC. NO.: 21667A Licensee: James Leavitt Signature LIC. NO.:12572B (If applicable, enter "exempt"in the license number line.) Bus.Tel. No.: 732-354-3111 Address: 124 Turnpike t. Suite 10 West Bridgewater, MA 0237 Alt. Tel.No.: *Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. The Commonwealth of Massachusetts Department ofIndustrial Accidents r I Congress Street,Suite 100 Boston, MA 02114-2017 ,r www.mass gov/dia 11"orlcers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibiv Name(Business/Organization/Individual):Skyline Solar LLC Address: 124 Turnpike Street Suite 10 City/State/Zip:West Bridgewater, MA 02379. Phone#: 732-354-3111 Are you an employer?Check the appropriate box: Type of project(required): 1izI am a employer with 60 employees(full and/or part-time).* 7. Ej New construction 2Q 1 am a sole proprietor or partnership and have no employees working for me in 8, ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.E]I am a homeowner doing all work myself.[No workers'comp.insurance required.].: 9. ❑Demolition 4.[—][am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 []Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[:]Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions S.Q i am a general contractor and I have hired the sub-contractors listed on the attached.sheet. These sub-contractors have employees and have workers'comp.insurance.: 13.[]Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.VOther PV SOLAR 152,§1(4),and we have no employees. [No workers'comp.insurance required.] "Any appl icant that checks box 91 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number.. I am.an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:A.I.M. Mutual Insurance Company Policy#or Self-ins.Lie. #:VWC-100-6018336-2015A Expiration Date: 9/16/2016 Job Site Address: 46 Holly Ridge Rd. North Andover, MA 01845 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the.policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance. coverage verification. 1 do hereby cern n er the irs penalties of perjury that the information provided above is true and correct Si nature: Date:3/25/16 Phone#; 732-354-3111 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector b. Other Contact Person: Phone#: Fold, Then Detach Along All Perforations OM- It�. 1WEALTH OF. iUilHET3® , a o ® + . B A OF t ..... .... ; 1 :SSUE T � LL�W [ N�G U , NS A : . / r:: /r -L. TtD MAST s� IRAN o� mnh w .Y .... +. 8 /%ipre / / h k G r t. NO Ali ................ s r/ / t / .{i / �: / r r 'ter, l >,% .•V.t .......... / ,r n / h l r� ry S J: A .� TT. SN •,11 TU: NP I KE.,*..' STZ. v r_ W • .. c .. ......... .... Cz D G E W AT-ER""" 3719 2 ... ....... Cz 5.0 3 Mal y A 0:Ll 9 c cz U J 1 2 3 4 5 1, SHEETINDEX PHOTOVOLTAIC SYSTEM PVO.O COVER AND SITE PLAN t PV1.0 GENERAL NOTES SYSTEM SIZE: PV2.0-PV2.1 ARRAY LAYOUT AC/DC kW STC: 7.012kW\7.905kW 1, PV3.0 LINE DIAGRAM PV4.0 LABELS EQUIPMENT: - q { t A PV MODULES: (31)Trina Solar TSM-255 PD05.05 HOLLY RIDGE ROAD KEY: INVERTER(S): (1)SolarEdge SE760OA-US FUSIBLE AC DISCONNECT&(E)MSP --"—PROPERTY LINE INSIDE BASEMENT 4 ——— CONDUIT RUN Q INVERTER - - DRIVEWAY Q SUBPANEL SCOPE OF WORK: --�-- FENCE FIRE CLEARANCE Q DC DISCONNECT INSTALLATION OF A SAFE AND CODE-COMPLIANT �a --MSR STRUCTURAL AC DISCONNECT GRID-TIED SOLAR PV SYSTEM ON AN EXISTING 'y UPGRADES OO JUNCTION BOX RESIDENTIAL ROOF TOP. _._.� SOLAR MODULE ❑O MONITORING UNIT t MAIN SERVICE PANEL Q COMBINER BOX M AC N ❑" UTILITY METER 0 ROOF MAtN PC �I Q PV METER OBSTRUCTION \ APPLICABLE CODES: 2014 NEC DRIVEWAY 2009 INTERNATIONAL CODES WITH MA AMENDMENTS N i C, O Q B ,1i CONTRACTOR INFORMATION: B SKYLINE SOLAR NORTHBOROUGH 35 MILL STREET CENTRAL MARLBOROUGH,MA 01752 PR ROOF AO JURISDICTIONAL INFORMATION: NORTH ANDOVER,TOWN OF 1600 OSGOOD ST. u e ROOF MOUNTED CONDUIT,TYP. NORTH ANDOVER,MA 01845 NOTES TO INSTALLER: FOR INSTALLER USE ONLY POST INSTALL SUNEYES REQUIRED? YES - I CERTIFY THAT NO CHANGES HAVE C BEEN MADE TO THE ARRAY LAYOUT: CUSTOMER INFORMATION: PAUL W BODET 46 HOLLY RIDGE RD NORTH ANDOVER,MA 01845 SITE PLAN N (617)953-8817/#2317397 SCALE: 3/32"=V-0" - DESIGNED BY: REV#: DATE: PV-0.0 MMORALES 1 0 1 2/8/16 SUNOEVRYe9C.66FRMKU1 ST SUHE310 OAR-AND.CA 9x607 WNMORPLES Dme--Wztlan Bo6M-231-7 WI5Een Size:11.17 THESE DMWINGS.SPECIFICATIONS.AND DESIGNS ARE THE PROPERTY OF SUNGEVITY INC.NO PMT SHALL BE COPIED OR USED FOR 01 w1TH ANY OTHERWORK OTHER THAN THE SPECIFIC PROTECT FOR WHICH THEY WIVE BEEN DEVELOPED WUHCUT OURWRITTEN CONSENT 1 2 3 4 5 GENERAL NOTES. ELECTRICAL NOTES: GENERAL NOTES: El.ALL EQUIPMENT IS LISTED FOR USE. N1.DRAWINGS ARE DIAGRAMMATIC ONLY.THE LOCATION AND ROUTING OF E2.MAXIMUM VOLTAGE DOES NOT EXCEED 600VDC. RACEWAYS SHALL BE DETERMINED BY THE CONTRACTOR UNLESS OTHERWISE E3.ANY EQUIPMENT OR ELECTRICAL MATERIALS USED FOR THIS INSTALLATION SHALL BE NOTED OR STANDARDIZED. NEW AND LISTED BY A RECOGNIZED ELECTRICAL TESTING LABORATORY. N2.ALL EQUATIONS ACCOUNT FOR WORST CASE CONDITIONS. E4.AN INVERTER IN AN INTERACTIVE SOLAR PV SYSTEM SHALL AUTOMATICALLY A N3.IF A DISCREPANCY IN QUANTITY OR SIZE OF CONDUIT,WIRE,EQUIPMENT DE-ENERGIZE ITS OUTPUT TO THE CONNECTED ELECTRICAL PRODUCTION AND A DEVICES,OVERCURRENT PROTECTION,GROUNDING SYSTEMS,ETC.(ALL DISTRIBUTION NETWORK UPON LOSS OF VOLTAGE IN THAT SYSTEM AND SHALL REMAIN EQUIPMENT AND MATERIALS)THE CONTRACTOR SHALL BE RESPONSIBLE FOR IN THAT STATE UNTIL THE ELECTRICAL PRODUCTION AND DISTRIBUTION NETWORK PROVIDING AND INSTALLING ALL MATERIALS AND SERVICES REQUIRED BY THE VOLTAGE HAS BEEN RESTORED. STRICTEST CONDITIONS IN THE SPECIFICATIONS OR NOTED ON THE PLANS TO E5.ALL PV ARRAYS SHALL BE EQUIPPED WITH DC GROUND FAULT PROTECTION. ENSURE COMPLETE COMPLIANCE WITH ALL CODES AND TO ENSURE THE E6.ANY AC COMPONENT SHALL MEET OR EXCEED THE AVAILABLE FAULT CURRENT LONGEVITY AND SAFETY OF THE OPERABLE SYSTEM. CALCULATED AT THAT COMPONENT. N4.ALL OUTDOOR EQUIPMENT SHALL BE MIN.NEMA 3R RATED. E7.ALL MODULES AND ANY RELATED ROOF MOUNTED METALLIC EQUIPMENT SHALL BE N5.METAL CONDUIT AND ENCLOSURES SHALL BE USED WHERE PV SOURCE OR PROPERLY GROUNDED. _ OUTPUT CIRCUITS ARE RUN INSIDE A BUILDING. E8.DC EQUIPMENT SHALL BE 60OVDC RATED MINIMUM. N6.MODULES SHALL NOT BE PLACED OVER ANY PLUMBING VENTS AND AT LEAST 6"ABOVE FLUSH VENTS. E9.MARKINGS SHALL BE PROVIDED TO INDICATE THAT ALL CONTACTS OF THE DISCONNECT EQUIPMENT MIGHT BE ENERGIZED. N7.THE ELECTRICAL CONTRACTOR SHALL COMPLY WITH ANY AND ALL E10.CONDUIT RUNS SHALL BE PROVIDED WITH SUFFICIENT WEATHERPROOF PULL BOXES REQUIREMENTS GIVEN BY UTILITY COMPANIES. OR JUNCTION BOXES/COMBINER BOXES PER APPROPRIATE JURISDICTIONAL N8.FOR ADDITIONAL EQUIPMENT SPECIFICATIONS,SEE PROVIDED CUT SHEETS. REQUIREMENTS. N9.ALL LABELS AND MARKINGS SHALL BE ATTACHED ACCORDING TO Ell.FOR ANY UNGROUNDED PV SYSTEM,A LABEL READING: B REQUIREMENTS BY NEC AND THE LOCAL AHJ.THE AHJ MAY HAVE SPECIAL LABEL B REQUIREMENTS BEYOND THE SCOPE OF THIS DOCUMENT. THIS MAY ENCOMPASS WARNING-ELECTRICAL SHOCK HAZARD.THE DC CONDUCTORS OF THIS PHOTOVOLTAIC LANGUAGE INCLUDING,BUT NOT LIMITED TO,THAT FOUND IN NEC ARTICLES SYSTEM ARE UNGROUNDED AND MAY BE ENERGIZED." 690.5(C),690.14(C)(2),690.17,690.53,690.35(F), 690.54,690.64(6)(7)and SHALL BE PLACED AT EACH JUNCTION BOX,COMBINER BOX,DISCONNECT AND DEVICE 705.10 WHERE ENERGIZED,UNGROUNDED CIRCUITS MAY BE EXPOSED DURING SERVICE. N10.INSTALLER TO FOLLOW ALL LOCAL JURISDICTION GUIDELINES. E12.INVERTER(S)SHALL CONTAIN A GROUND FAULT DETECTION AND INTERRUPTION Nll.ALL NEC REFERENCES SHALL BE DIRECTLY INTERCHANGEABLE WITH CEC DEVICE. REFERENCES. E13.ALL METALLIC RACEWAYS AND EQUIPMENT SHALL BE BONDED AND ELECTRICALLY N12.IT IS ILLEGAL FOR ANYONE UNLESS ACTING UNDER THE DIRECTION OF A CONTINUOUS. LICENSED PROFFESIONAL ENGINEER OR REGISTERED ARCHITECT TO ALTER ANY E14.THE POINT OF CONNECTION COMPLIES WITH APPLICABLE CEC/NEC. ITEMS ON THIS PLAN. E15.BACKFED SOLAR BREAKER(S)SHALL BE INSTALLED ATTHE OPPOSITE END OF THE N13.THE ENGINEER HAS NOT BEEN RETAINED FOR JOB SUPERVISION. CIRCUIT OR FURTHEST AWAY FROM THE MAIN BREAKER. E16.ALL WIRE,VOLTAGES,AMPERAGES AND EQUIPMENT ISSIZED ACCORDING TO STRUCTURAL NOTES: TEMPERATURE DERATING AND LOCATION. S1.MOUNTS ARE DIAGRAMMATIC AND EXACT LOCATION MAY CHANGE,BUT E17.ONLY COPPER(CU)CONDUCTORS SHALL BE USED.CONDUCTORS SHALL BE SHALL BE ACCURATELY SPACED. STRANDED OR SOLID WITH PROPERLY RATED CONNECTORS. C S2.MOUNTS SHALL BE STAGGERED WHEN NECESSARY TO EVENLY DISTRIBUTE E18.DISCONNECT SHALL BE WIRED SO NO BLADES ARE ENERGIZED LOAD AMONGST RAFTERS. E19.ALL MODULES AND RACKING SHALL BE GROUNDED VIA IRON RIDGE RAIL INTEGRATED CUSTOMER INFORMATION: S3.DO NOT SPLICE RAILS IN MIDDLE 50%OF SPAN BETWEEN TWO MOUNTS. GROUNDING(PLEASE SEE DATA SHEET)OR WITH TIN PLATED DIRECT BURIAL RATED LAY IN PAUL W BODET LUGS USING STAINLESS STEEL HARDWARE,STAR WASHERS,AND THREAD FORMING _ 46 HOLLY RIDGE RD BOLTS. NORTH ANDOVER,MA 01845 E20.ALL EQUIPMENT SHALL BE GROUNDED,INCLUDING BONDING JUMPERS WHERE (617)953-8817/#2317397 NECESSARY ACROSS RAIL SPLICE PLATES TO BOND INDIVIDUAL PIECES OF RAIL. DESIGNED BY: REV#: DATE: PV-1.0 MMORALES 1 0 1 2/8/16 SUNOEVNY INC.66 FRANKLIN ST SUITE 110 OAKLAND.CA-07 .1:-RALE Ome:---lMeYon:BoEeT-4]t7]S>.1 E-Size.11.17 THESE DRAWINGS.SPECIFICATIONS.AND DESIGNS ARE THE PROPERTY OF SUNG-TY INC.NO PART SHALL BE COPIED OR USED FOR OR WITH ANY OTHER WORK OTHER THAN THE SPECIFIC PROJECT FOR WHICH THEY HAVE BEEN DEVELOPED WITHOUT OUR WRITTEN CONSENT 1 2 3 4 5 MODULE SPECIFICATIONS (31)Trina Solar TSM-255 PDO5.05 MODULE WEIGHT: 41 r , MODULE LENGTH: 64.95 I MODULE WIDTH: 39.05 .., , ROOF SPECS I I RAFTER SIZE: 2X8 NOMINAL __I RAFTER SPAN: 13'-4" RAFTER SPACING:1 16" ( I I I I I I I I I I I I ( I ROOF MATERIAL: COMPOSITE SHINGLE ARRAY SPECS NUMBER OF MODULES: 23 A I ( I L. _ ..I I 1 f I I 7 I I I I I I I i I - -- ,TOTAL MOD.WEIGHT(Ibs): 943 A RACKING WEIGHT(Ibs): 161 ARRAY WEIGHT(Ibs): 1104 ARRAY AREA(sgft): 405.1 ARRAY DEAD LOAD(lbs/sgft): 2.7 NUMBER OF MOUNTS: 47 I -- -- - -- - -- - - LOAD PER MOUNT(Ibs): 23.5 ARRAY AZIMUTH(') 165 ARRAY TILT(F NUMBER OF F 40 LOORS 2 I ;o 1 1 I I I I 32'-9" 14' - RRAY 1 LAYOUT SCALE: 3/16"=V-0" B B NOTE: MODULES SHALL NOT BE GREATER THAN 8 SYMBOL KEY: INCHES ABOVE ROOF COVERING RAIL -- - - RAFTERS .. ROOF FIRE CLEARANCE Q............® STRING CONFIG. Ta w+r Nv w STRUCTURAL UPGRADES SOLAR MODULE - - Q SOLAR MODULE ® MOUNT P,t 'SKYLIGHT IRONRIDGE XR10 2 c ® CHIMNEY L-FOOT �N OF c PLUMBING OR QMSE-LAG SHINGLE ATTIC VENT C COMPOSITE SHINGLE - - AKKI 0 O. ATTIC VENT 5" X 5/16"-LAG - - v SPENCER -- CUSTOMER INFORMATION: 2.5"MIN.EMBEDMENT PER H SCREW - N0051861 PAUL W BODET 2X8 NOMINAL,16 O.C, �F� P 46 HOLLY RIDGE RD /STv- NORTH ANDOVER,MA 01845 -- ORAL '\ (617)953-8817/#2317397 MOUNTING DETAIL L SCALE: NTS - DESIGNED BY: REV#: DATE: PV-2.0 MMORALES 1 0 1 2/8/16 9UNOEVnY MO 66FRANKI1N Si SUITE]tOOAIGMID.CA 4160] By. MORALES D"te:—Lxetion:BOEeI�t]t]Mz5VI Shen Size:Itz1] THESE NGS.SPECIFICATIONS.AND DESIGNS ARE THE PROPERTYOFSUNGENTY INC.NO PART SHALL BE COPIED OR USED FOR CR WITH A-OTHER WORK OTHER THAN THE SPECIFIC PROJECT FOR WHICH THEY HAVE BEEN DEVELOPED WITHOUT OURMITTEN CONSENT 1 2 3 4 5 MODULE SPECIFICATIONS (31)Tnna Solar TSM-255 PDO5.05 MODULE WEIGHT: 41 MODULE LENGTH: 64.95 MODULE WIDTH: 39A5 - - ROOF 2 SPECS RAFTER SIZE: 2X8 NOMINAL 1 I RAFTER SPAN: 12' 3" I I RAFTER SPACING:1 16" I I I I ROOF MATERIAL: COMPOSITE SHINGLE I ARRAY 2 SPECS I I I I I NUMBER OF MODULES: 8 - A I C I I I. ... TOTAL MOD.WEIGHT(lbs): 328 A RACKING WEIGHT(Ibs): 61.5 I I I I I ARRAY WEIGHT(lbs): 389.5 ARRAY AREA(sgft): 140.9 I I I I I I ( I ARRAY DEAD LOAD(lbs/sgft): 2.8 A NUMBER OF MOUNTS: 18 LOAD PER MOUNT(Ibs): 21.6 I__ ARRAY AZIMUTH(') 75 ARRAY TILT(') 40 l I I I I I I I I l I NUMBER OF FLOORS 2 I i 1 1 I i I I I i I i I 1 1 7 I 8' 16'-4" (,,ARRAY 2 LAYOUT SCALE: 3/16"=1'-0" B B NOTE: MODULES SHALL NOT BE GREATER THAN 8 SYMBOL KEY: INCHES ABOVE ROOF COVERING RAIL --------- RAFTERS ROOF FIRE CLEARANCE QQ - ® STRING CONFIG. w+we w STRUCTURAL UPGRADES SOLAR MODULE 0 SOLAR MODULE ® MOUNT .. SKYLIGHT IRONRIDGE XR10 -'^'" - - ® CHIMNEY L-FOOTy":✓ u PLUMBING OR QMSE-LAG SHINGLE-­ - - - a„tH OF' ,� ATTIC VENT C V '���', O ATTIC VENT COMPOSITE SHINGLE AKIKO 5" X 5/16"-LAG SPENCER CUSTOMER INFORMATION: 2.5"MIN.EMBEDMENT PER CML. SCREW -- - NO. 51861 PAUL W BODET ...2X8 NOMINAL,16 O.C. �g 9 C O 46 HOLLY RIDGE RD �k F/STE�' ." NORTH ANDOVER,MA 01845 /ONAL E '\ (617)953-8817/#2317397 MOUNTING 2 SCALE: NTS NTS DESIGNED BY: REV#: DATE: PV-2.1 MMORALES 1 0 1 2/8/16 1111EWrvmC.66FRANKUNSTSUITES100—O.CAN601 By:MM—ES Dme:—Lwstlon:BPON-?ltllsT Svt Snen Size:ttetT (NESE DRAWINGS.SPECIFICATIONS.AND DESIGNS ME ME PROPERTYOF SUNGE—INC.NO PART SHALL BE COPIED OR USED FOR OR WITH ANY OTHER WORK OTHER THM TRE SPECIFIC PROTECT FORWHICN THEY NAVE BEEN DEVELOPED WMOUT WR WRI NCONSENT 1 2 3 4 5 ELECTRICAL KEY: MODULE ELECTRICAL SPECIFICATIONS (31)Trina Solar TSM-255 PDO5.05 1L BREAKER SHORT CIRCUIT CURRENT(ISc): 8.88 -/.- SWITCH OPEN CIRCUIT VOLTAGE(Voc). 38.1 Q SCREW TERMINAL OPERATING CURRENT(IMP): 8.37 C= FUSE OPERATING VOLTAGE(VMP): 30.5 • SPLICE MAX SERIES FUSE RATING: 15 l EARTH GROUND STC RATING: 255 m CHASSIS GROUND PTC RATING: 232 ——— GEC- DESIGN CONDITIONS EGC HIGHEST 2%DB DESIGN TEMP('C): 32 MIN.MEAN EXTREME ANNUAL DB('C): -18 A , INVERTER 1 SPECIFICATIONS A SOLAREDGE SE760OA-US RATED WATTS(EACH): 7600 AC OPERATING VOLTAGE(V): 240 AC OPERATING CURRENT(A): 32 NUMBER OF MPPT CHANNELS 0 INVERTER EFFICIENCY: 0.975 INTEGRATED DC DISCONNECT INVERTER 1 INPUT SPECIFICATIONS NOMINAL CURRENT PER STRING(Inom): 10.9,11.7 (3)#8 THWN-2 (3)#8 THWN-2 (3)#B THWN-2 (3)#6 THWN-2 NOMINAL VOLTAGE(VnOm): 350 (4)#10 PV-Wire (4)#10 THWN-2 (1)#B GEC (1)#B GEC (1)#8GEC (1)#8 GEC MAX SYSTEM VOLTAGE(Vmax): 500 (i A, (1)#10EGC 3l4"EMT 314'EMT 314'EMT 3/4*EMT FREE AIR 3/4'EMT MAX CURRENT PER STRING(Imax): 15 METER MAX INPUT CIRCUIT CURRENT(Imax): 3D AC DISCONNECT. SUPPLY SIDE CONNECTION WITH NIS E]600A-US POLARIS BLOCK OR SIMILAR I60AM NVERTER W/INTEGRATED P, —AC RATED UL LISTED AND DC DISCONNECTS NON-FUSIBLE,C-H AC Disconnect. APPROVED CONNECTOR DG222URB 60Amp,Fusible —————— MPPT 1 200A MAIN BREAKER 1 STRING OF LOCUS 40A FUSE py 15 MODULES �^ AC METER Im OPT.CURRENT=10.93A 11 DC OUTPUT LOAD LINE LOAD LINE —————— ----- — -- —4 — -- - -————— -- ------ ---- ------- 1 STRING OF MPPT 2 16 MODULES (E)LOADS OPT.CURRENT=11.66A (E)200A Siemens MSP —————— INVERTER �(E)LOADS NOV xP 3-W 141 I B L______ B (IF APPLICABLE) VI MIN.NEMA3R UL LISTED JUNCTION BOX WITH W-C TERMINAL RATINGS GEC IEFU VE0.SIBLY SPLICED TO LOCATED CN ROCF EXISTING GEC OR BONDED DIRECTLY TO EXISTING GROUNDING ELECTRODE C Inom=(16 x 255W)/350V=11.7A CONDUIT ELEVATION:1/2 TO 3-1/2"=22 nC 31 MODULES TOTAL OPERATING VOLTAGE=350VDC(REGULATED) HIGH AMBIENT TEMPERATURE:32'C 31 x 232(PTC WATTS)x 0.975=7012 CEC WATTS CUSTOMER INFORMATION: EXTREME LOW:-18°C PAUL W BODET 200 x 1.2=240 ROOFTOP AMBIENT TEMP(Tcorr):54"C=0.76 SE760OA-US MAX OUTPUT CURRENT=32A 240-200(MCB)=40A CONDUIT FILL(Cfill):0.8 BREAKER SIZE=32A x 1.25=40A=>40A 46 HOLLY RIDGE RD MAX ALLOWABLE AC PV BREAKER=40A NORTH ANDOVER,MA 01845 CONTINUOUS USE=Imax a 1.25=15A (617)953-8817/#2317397 CONDITIONS OF USE=Imax/Tcorr/Cfill =15A/0.76/0.8=24.67A CONDUCTOR SIZE FOR 24.67APMMORALES ESIGNED BY: REV#: DATE: INSTALLATION SHALL USE MIN.#10 AWG [PV-3.0 0 2/8/16 9UN0 me.66 FRANXUN ST SUITE]100AI4ANO.CA 9a6GT By:MMORKE9 Oere:--Kaon:Bo4K-3]1T3ST Sv15nea Slze:IletT THESE D—GS.SPECIFICATIONS.MG DESIGNS ARE THE PROPERTY OF SUNGESTY WC,NO PART SHALL BE COPIED""ED FOR OR VATH ANY OTHER WORBOTHER THAN THE SPECIFIC PROJECT FOR WHICH THEY HAVE BEEN DEVELOPED WITHOUT OUR WRI TTEN CONSENT 1 2 3 4 5 NEC 690.5(c) NEC 690.31(E)3&4;2012 IFC 605.11.1 INTERACTIVE PHOTOVOLTAIC POWER SOURCE PLACE THIS LABEL ON INVERTER(S)OR NEAR PLACE ON ALL JUNCTION BOXES,EXPOSED GROUND-FAULT INDICATOR(ON INVERTER(S)U.O.N.) RACEWAYS EVERY 10'AND 1'FROM BENDS RATED AC OUTPUT CURRENT(A): 32 AND PENETRATIONS,ADJACENT TO THE NOMINAL OPERATING AC VOLTAGE(V): 240 MAIN SERVICE DISCONNECT WARNING INVERTER 1 DC DISCONNECT PHOTOVOLTAIC SYSTEM DISCONNECT ELECTRIC SHOCK HAZARD WARNING RATED MAX POWER POINT CURRENT(Imp): 22.6 A IF A GROUND FAULT IS INDICATED, PHOTOVOLTAIC POWER RATED MAX POWER POINT VOLTAGE(Vmp): 350 A NORMALLY GROUNDED CONDUCTORS MAX SYSTEM VOLTAGE(Voc): 500 MAY BE UNGROUNDED AND ENERGIZED SOURCE SHORT CIRCUIT CURRENT(Isc): 11.1 NEC 690.35(F) NEC 690.17(E) PLACE THIS LABEL AT EACH JUNCTION BOX,COMBINER BOX, PLACE THIS LABEL ON ALL DISCONNECTING DISCONNECT AND DEVICE WHERE ENERGIZED,UNGROUNDED MEANS WHERE ENERGIZED IN AN OPEN POSITION CIRCUITS MAY BE EXPOSED DURING SERVICE: WARNING WARNING ELECTRIC SHOCK HAZARD ELECTRIC SHOCK HAZARD DO NOT TOUCH TERMINALS TERMINALS ON BOTH THE LINE AND LOAD THE DC CONDUCTORS OF THIS SIDE MAY BE ENERGIZED IN THE OPEN PHOTOVOLTAIC SYSTEM ARE UNGROUNDED POSITION AND MAY BE ENERGIZED NEC 705.12(D)(2)(b) B PLACE THIS LABEL AT P.O.C.TO SERVICE B DISTRIBUTION EQUIPMENT(I.E.MAIN PANEL(AND SUBPANEL IF APPLICABLE)) WARNING NOTE: OUTSIDE LABELING OF SYSTEM COMPONENTS AND INVERTER OUTPUT CONNECTION METERS IS TO BE DONE IN A WAY SUITABLE FOR THE DO NOT RELOCATE THIS ENVIRONMENT IN WHICH THE EQUIPMENT IS OVERCURRENT DEVICE INSTALLED.NO STICKERS ARE PERMITTED. NEC 705.12(D)(3) PLACE LABEL ON ALL EQUIPMENT CONTAINING OVERCURRENT DEVICES IN CIRCUITS SUPPLYING POWER TO A BUSBAR OR CONDUCTORS SUPPLIED FROM MULTIPLE SOURCES. CAUTION C CONTAINS MULTIPLE POWER SOURCES CUSTOMER INFORMATION: PAUL W BODET 46 HOLLY RIDGE RD NOTE: 01845 BACKGROUND AND LETTERING COLORS FOR NORTH ANDOVER, SIGNAGE/LABELS SHALL COMPLY WITH(IN ORDER OF (617)953-8817/#231177 39977 PRIORITY)AHJ&FIRE DEPARTMENT AMENDMENTS, STATE CODE,AND ANSI GUIDELINES.THIS PAGE IS INTENDED FOR SIGNAGE/LABEL VERBIAGE ONLY. DESIGNED BY: REV#: DATE: PV-4.0 MMORALES 0 1 2/8/16 SDN—TTY INc,11 INAHHUN ST SUITE 310 OAKLAND.CA 1617 y MORALES Dote._Loretlon.Boee12311391 EV1 Sneer Slze:11.17 THESE DRAWINGS.SPECIFICATIONS,AND DESIGNS ARE THE PROPERTY OF SUNGEVITY INC.NO PART SHALL BE COPIED OR USED FOR OR WITH ANY OTHER WORK OTHER THAN THE SPECIFIC PROTECT FOR WHICH THEY HAVE BEEN DEVELOPED WITHOUT OUR WRITTEN CONSENT THE Universal MODULE Mono Multf Solutions 4 ..�..v.m. _ .. 1 PRODUCTS POWER RANGE ELECTRICAL DATA ISTC) -265W Peak Pa­ JWP) 1.. 250 1 - 255 260 265ISM-P005 215 250 TMPD0508 250-26W Po O Ip fT I 1 iSA1-PD050245-26OW M Po 299 303 3015 30.6 30.8THEUniversal ' e 1 M 41 Pa..C ,enl-I—IAT 8.20 8.27 8.37 8.50 8.61 DIMENSIONS OF PV MODULE Op Cil ifag V«IV) 3].8 380 381 38.2 383 i_ . nR.mm Shad tldCl Ef8 tIC ya rT1�(1 At 8]5 879 8.88' f9.00 _ 9.10 . 941150153 1515.9 16.2MODULE ° siC. ' � a � Ivn fie ancy eeuc a s%or]g0 /m accorcl ng oEp W­ ELECTRICAL DATA(NOCT) s - Maximum P—PIWpi_ 1B2 j 186 1 190 193' ' 197 iA) 6 O 59[..�� • 1MOA Power Volt 9 -1 () 276 280 281 28.3 28.4 111Ic.-__--��..� J PDO5.05 M P C Ii.v 3' 665 6.74 6. 6CELL ' 84 6.93 ' MULTICRYSTALLINEM'ODULE � op c rV n g v (vj asl i ase 353 35.4 355 t Shon CL—it Ctl (A) ]OJ 710 717 727 1 7.35 ❑❑ .PD05.08 _ ho . 'pn-ln 50 Arrbi , m„re]oe.w dSpp d m/s. 245-265W Po05 nxc luc _ MECHANICALDATA ows POWER OUTPUT RANGE A ^ - Sm 1 M wcry f n,ne 156.156 (6Inch es) Our most versatile product w _ t �q/�j� •Compatible with all major 80S components and system _ �c It f t --r- lot i ///�%ry��,,,/��� \./.'f designs MEI tl I1650x992 35 mm(6495 3905n1.3]- h s) ... {{ 62/0 1000V UL/1000V IEC Ceril(leCl _ doe12 180 tW Ighi 18.6 kg(411b1 - fi / ckvkw GI �3.2mmI0.I31nchast.Hfgnl mlislon,AR C°ptep Tamperetl Glass MAXIMUM EFFICIENCY �Rackmeef wnne(PDosaPDos:oe):elacklPDos.o51 Fr me t Snve,A,,di,ed AI 'Alloy(PD05)el k(PD05.083PDO5.051 One of the industry's most trusted modules ;/.Ra. IP 66 a IP 67 f a AAAM.r.11 •Field proven performance O—+3�O ,y p Cables ;103-3937nchest gy able 4.011(0006 inch,,'). POSITIVE POWER TOLERANCE L __ !C.—ca, MC4 COmpofibl0 31 Highly reliable due to stringent quality control 6 a letldlno global monufa.tufer ° •Over 30 in-house tests(UV,TC.HF,and many more) 1-VCURVESOF PV MODULE(260W) TEMPERATURE RATINGS MAXIMUM RATINGS of n t gene a on photava-nic •In-house testing goes well beyond certification rea,uiroments _ ar ducts we dN Je closz PID resistant °°°�"' -_ ie p aWPa INIOCgTCell `44-C(12°CI op Ionali p rrel ab-*85°C ca p tJtl',rl A41ti urp3rfn rS. — -- ._.__...�.... I4M - syt - IWWDCIIEC) I. 1 ordflo J Cls Warners iTe pe f C N I fP o lips, IV Itig 10DW Do(tru ,ee CBOT) he globe Fno fS T—p—tuh.C ffi I at« 032%/"C S i,Fus Rating `ISA dare to provide exreplional a 'ce tTenpealuh,C ffi i Lof Ise 005%/"C . -- - - - aeochuslorneachmnet Certifledtowithstandchallengingenvironmental an — o j n pplc rrem o irtnovd rte. ? COndifions �'*-^----- _ f a@T5 ar.dvufs vth the bOCKirig ero WARRANTY of G Iq as strong vankdbte t '2400 Pa wind load partner.We ar_.._mmGtea 5400 Po snow load • ,• n ,n 10Yea,Protlucf.workmanenpwahhchh,. - tri building shOiecic.mUiudll m m ,' •'wN '25 year Linear Pow W y benetteiatcolldbo[atipn With '—_^^---�— — -- nstal 5,d6vel I (5,d'i,I,Ibutor9 - In eo.e,e,n,.n n,oee vro,eoasl olid Otherpafin-as.the CERTIFICATION j R back'--of our st1 9d S—ESs:n dhvngS.—it Ereroi'logethel. LINEAR PERFORMANCE WARRANTY i PACKAGING CONFIGURATION 70 Year Product WciraMt •25 Year Linear Power Warranty M d ox.p r b30 p T s I timeted -- - er ao c f rs Ip e40 pieces: - .. M tl 9 AddrItan ry v ° Dive nem pa ' nr°°Eofar111—wch.e Ar on Hs,Run oHs dFF '9Fin�solar p, 1@`inasolar �An r,, ,o,ArE,y Smart Ersergy Together yeon s 19 Is m Is Smart Energy Together 13 l,ina52nJa,tl 13, CERTIFICATE OF COMPLIANCE CERTIFICATE OF COMPLIANCE Certificate Number 20.140630-E306515 Certificate Number 20140630-E306515 ReportReference E306515-20121213 Report Reference -E306515-20121213 Issue Date 201.4-JUNE-30Issue Date 2014-JUNE-30 Issued to: TRINA.SOLAR LTD The modules with the specified construction as below may be marked with its type for UL listed fire performance products only as the below table: 2 TIAN HE RD,ELECTRONICS PARK NEW DISTRICT, CHANGZHOU,JIANGSU 213031 CHINA, Module model Specific construction Marking TSM-xxxPD05, Superstrate: 3.2-4.36mm thick; Module -Fire This Into certify that PHOTOVOLTAIC MODULES AND PANELS.WITH TSM-xxxPD05.08 EVA: 0.25-0.61mm thick; Performance: Substrate: 0.30 mm - 0.64 mm Type 1 representative samples of SYSTEM VOLTAGE RATINGS OVER 600 VOLTS thick; Refer to addendum,page for Models Frame: Cross sectional dimension: 35 x 35mm, . Height: 35mm, Have been investigated by UL in accordance with the Thickness: 1.5mm Standard(s)Indlcated.on this Certificate. TSM-xxx PDH Superstrate: 3.2-4.36mm thick; Mo u e Eire TSM->:rxPD05,05, EVA:-0.25-0.61mm thick; Performance: Standard(s)for Safety: UL 1703-Standard for Safety for Flat-Plate Photovoltaic TSM-xxxPDoS.oe substrate: 0.264 mm - 0.30 mm Type 2 thick; Modules and Panels and ULC ORD/C1703-01—Flat-Plate Frame: Photovoltaic Modules and Panels. Cross sectional dimension: 35 Additional Information: See the UL Online Certifications Directoryat x 35mm,. Height: 35mm, www.ul.com/database for additional information Thickness: 1.5mm TSM-xxx PD14, : Superstrate: 3.2-4:36mm thick; Module Fire TSM-xxxPD14.08 EVA: 0.25-0.65mm thick; . 1 Performance: Only those products bearing the UL Listing Mark for the US and Canada should be considered as Substrate: 0.284 mm - 0.300 mm Type 8 being covered by UL's Listing and Follow-Up Service meeting the appropriate requirements for US. thick; and Canada. Frame:. The UL Listing Mark for the US and Canada generally includes:the UL in a circle symbol with"C" : Cross sectional dimension: and"US"identifiers:c@i w the word"LISTED"a control number(may be alphanumeric)assigned 4.0135 mm, .. by UL;and the product category name(product identifier)as indicated in the appropriate UL. Height: 4 0mm, Directory- Thickness: 1..5 mm Look for the UL Listing Mark on the product. TSM-XXXPD05.10 Superstrate: 3.2-4.36mm thick; Module Fire TSM-XXXPD05.18 EVA: 0.2.5-0..65 mm thick; Performance: Substrate: 0.025 - 0.284 mm Type 5 . thick; :. .. _ Frame: . Cross sectional dimension: 40* 38 mm,. Height: 4 0mm, Thickness: 1.8mm. .. 41 m.r.r.i uc wu., .a...— uLa m.,.w.... .. (UL)I,I, ...». ..n1. Page 1 of 4 - Page 3 of 4 solar=oo Single Phase Inverters for North America s o l a r SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ SE7600A-US I SEt0000A-US/SE1140OA-US —~ SE3000A-US 00A-US'!sE36SESOOOA-US, SE6000AU5 T- � � -" SE7600A-U5 f'E10000A US.I.aE13400A-U5� �" OUTPUT SolarEdge Single Phase Inverters o ............ ... . .. .... .... .... ........... ��2 ...... N IAC Power Output 3000 3800 5000 6000 7600 71400 VA 540',,C' V 208V •• • For North America Max.AC Power Output 3300 4150 6000 8350 12000 VA .....6"...".."""...,e**M.................................................5450"taa240y..................................10950"(a240y........................... ACO In t V It geMn Nbm Max'.° SE3000A-US/SE380OA-US/SE5000A-US/SE6000A-US/ 7R3 208 229 Vat """""" •"""" •"""""" .ACO tp-V 11,geMn Nom Max'' .. SE760OA-US/SE10000A-US/SE1140OA-US z17 zoo 264 vat ............ .... .......... •AC Freque LcyMn Nom Max' 593 60�605(w lh Hl co ty tti y57 60 605) H . Max Continuous Output Current ....125..",I" �16 "f..21�2+OIOy-I••"..25"..""""�. .. 3Z... ""I."Q2 Qv 240V•"") ..,475 ... ....p•""• .................. ......................................1 ....................... ................ tY M 't R 1. d'g P t h 'C ml.ry Contigs table Thresholds Y. _ _ """Yes" ` INPUT --_ _ - M DC P (STC) 1050 5100 6750 -- 8300 70250 13500 15350 VJ ..... ..... ... .. ....- ¢{'spat nC > Tf .......... .... ..... Y ........................................... ... . a Nom OC Input Voltage 325 @ 208V/350 @ 240V Vdc 16.5 208V I"" 33 208V ' h Max.Input Currant.. ... 13 18 23 @ 34.. Adc m ...............!...............I,15;5"Ga 2AOy..I................�........,.....,.�..30;5"�240V..I............................. y, - " ...Max Input Short Crcilt Current .......... ............. M1S ........... .................... ".."".". ..". Adc.... 1$ .. ................. ...................... ... ;� 1..� .Reverse Polarity Pro[eclion""" """' __"Ves_,_ "" Ground fault lsolatton Detection EOOku Sensitivity - � �h1ax'mum lnvnrter Ef(tcien<Y •�� '•" "9]1""•�"'""..9R2 9fl"3"""'" 983 1 98 "•9R "98 ��`6""" 97A5 2xV 971 208V " CEC We h[etl Effic enc 97 5 98 97.. 97.5 97.5 -% R -? N ghltimePower Consumpt on ,2@25 0OV- _ I 1 � V 4 "_ ..^.... " • r ADDITIONAL FEATURES 'i Supported Communication Interfaces R5485 RS232;Ethernet,Lgeee(optional) Revenue Grade Dala,AN51 C12.1 I Opbo .............. .... .. .... ..... ... ....... ........... .. ... ... .. ....... ,y Rapd Shu[dnwn NEC 207469012___-_ .fun tt I'tyenabled, he"alarEdge rapid s1hutdow2 ki sinstalled° . �� STANDARD COMPLIANCE [ S t[Y I. "" UL3741r UL3699B;UL399R,GSA 222 """ •"" •"• ",""" """" •""" - -- C'dC n ct <_tarda"dc IEEE1547 ., _ _ ,.„ .: .... .-.... .Em ......... .. ............. .. ......... FCC Part15 la B........ ............................. ..... INSTALLATION SPECIFICATIONS .AC"t t d'[ e/AWr'r 3/4 /t66AWG 'R/4 1831. ' DC0[conduit size/tt ofWi g/ 3/4 (- . AWG 'm '/12 strings/... .. .."••• 3/4 /12strings " 'S76WG ..+ w •• •.................. � " """'"••"""""" """ Dimension, "" 2 th Safety Switch 30.Sx 125z 7.2/775z315z 1R4 30 5 x 12.5 A 10.5 .(HxWx O)...... ....... .. ... ... ... ................... .....775 x 315 x 260 .... -! We Sht with Safety Sw lch•". •"," 512/232 "", ., •• "547/247 _ "" """ "884/401. "",tb/k Natural ..... convection - - - Cooking - - Natural Corvection and it rnal Fars(user repla—be) .. .. (ser' The best choice for SolarEdge enabled systems ••" ...<'25 "" "•"""""""... a "" •'<so "" '" carr ' I ble) i .. .. .. ....• .. ............... ..... ... .... ... ... ...... .... ( � Integrated arc fault protection(Type 1)for NEC.2011 690.11 complianceNt n. ax.Moperanng temperature '3 •F/'C .. m+140/25to a60(AOto♦60v2rs on avalable') ' a _ �Superior efficiency(98%) "are..... ... ......... ....... .... ... ... ... ... ... ... ....... Pro[ecbon Raring NEMA 3R Small,.lightweight and easy to install on provided bracket' i:. - ten. "' "" """ "•" "'" - • • � � Built-in module-level monitoringaensapw," w-� <:5rsroa uspprvRa vzl. - - .. � oa. m �Ic�A+sespoaesusi Internet connection through Ethernet or Wireless ., ,w�eM".se....4usppoRnu.(roncopwnn•<n<se>rmnusa4xRxwl. Outdoor and indoor installation. .. .. .. ... .. ... ... .. .. ... .. ... - - Fixed voltage inverter,DC/AC conversion only - - Pre-assembled Safety Switch for faster installation Optional-revenue grade data,ANSI C12.1 - sunsaec M EM USA-GERNIANY-ITALY-FRANCE-JAPAN-CHINA-AUST'RALIA-THE NETHERLANDS-ISRAEL WWW.SOIaredge'.US - Q AAUTHORIZATION TO MARK AUTHORIZATION TO MARK This authorizes the application of the Certification Mark(s)shown below to the models described in the Product(s)� o S Product: lit Interactive Inverter Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing.. Brand Name: larEd e Report. This authorization alsoapplies to multiple listee model(s)identified on the correlation page of the Listing 7 models:SE3000,SE3300,SE3800,SE5000,SE6000,SE7000,SE7600 Report. Models: (Option:followed by A to indicate.Interface board,etc.) This document is the property of Intertek Testing Services and is not transferable.The certification mark(s)may be applied only at the location of the Party Authorized To Apply Mark. Applicant: SolarEdge Technologies Ltd Manufacturer: Jabil Circuif(Guangzhou)LTD DEV EAST DISTRICT - Address: 6 Ha'Harash Street 45240 Address: 128 JUN.CHENG RD. Hod Hasharon GUANGZHOU GUANGDONG 510530 CHINA Country: Israel Country: China Contact: Mr.Oren Bechar or Contact: Elaine Ouyang Mr.MeirAdest +972 9 957 6620#293 or Phone: +972 9 957 6620#131 Phone: 020-2805-4025!-135-7023-5852 - FAX: +972 9 957 6591 FAX: NA .. Email:- OREN.B@SOLAREDGE.COM Email: Elaiine.ouyang@jabil.com Party Authorized To Apply Mark: Same asManufacturer - Report Issuing Office: Cortland, NY 13045 S Grw- Control Number: 4004590 Authorized by: .for Thomas J.Patterson,Certification Manager r COUN U,Eo Intertek This document supersedes all previous Authorizations to Mark for the noted Report Number. TMS Aultro ..to Mark is for-..I.-use of I—W,GluuaM is pmWdad­dd.Io Mo Ca .IldneWoertoMb ,,1-1,aM ib CIM..IMwteks ms Iifluil,and haply aro Iinnuud W tta uu—aM—i.df ft19—IM-1,11—m 111b111ly W airy pay.at-IronW tM CMnt In accordance wiM Mo agreement,for any Wu,orpenso w dmag so owasionM - bYMouu of MIYAududzMion to Abrk.Only tM Glont h ouMo Id p nrul colryirg a dlIdu Mono(1Ms AUMw¢atbArotAadioto Mon Dory in ds otomy.—of Inrodak'a CaNficatMn m�rkM ree .W Mo ooMitlom!old.1111 Ma ag--I and In Nis A—ludtlonWMark.Any fu—,uu of Mel M-1,mma for Mo Salo or atl­d d,aW-d notarial,Wodudw.e must fiM Mapprmdd Inv Wdg by IM—k.1­1 ,IurmnWaM Folkw/up Services am for Me Wr d—ring app 0usage d Mo—den mark in accwdame w Me apeemeM,drey aee not for IM purposes of Wodu,,quality conMl oto do rot Wd tM GiIIM of Meir odigadom In MM rasped. Intertek Testing Services NA Inc. 545 East Algonquin Road,Arlington Heights,IL 60005 Telephone 800-345-3851 or 847-439-5667 Fax 312-283-1672 UL 1741 Standard for Safety for Inverters,Converters,Controllers and Interconnection System Equipment for Use With Distributed Energy Resources,Second Edition Dated:January 28,2010 1 CSA C22.2 107.1 Issue:2001/09!01 Ed:3.General Use Power Supplies -(R2011) Standard(s): UL SUBJECT 16996,Outline of Investigation:for Photovoltaic(PV)DC Arc-Fault Circuit Protection:-Issue No.2,2013!01114 CSA TIL M-07,Interim Certification Requirements.for Photovoltaic(PV)DC Arc-Fault,Protection-Issue No.1,2013103!11 ATM for Report 3188027CRT-001a Page 1 of 8 ATM Issued:13-Nov-2014 ATM for Report 3188027CRT-001 a Page 2 of 8 ATM Issued:13-Nov-2014 ED 16 3.15(1411-13)MaMaWry ED 16.3.15(1-1-13)Wa tdn, Tele Route it Cortland,NY 13045 .._ .. Telephoho ne:(607)753-6711 Facsimile: (607)756-9891 v_v intertek.com SolarEdge Technologies Ltd Letter Report 101703554CRT-001 June 20,2014 Letter Report No.101703554CRT-001 - June 20th,2014 Project No.G101703554 .. :.'3-ph Inverters; Mr.Meir Adest Ph:+972.9.957.6620 o .SE9KUS/SE10KUS/SE20KUS when the.SolarEdge rapid shutdown cable labeled"MCI-CB-xxxxx- SolarEdge Technologies Ltd -- email:meir.a@solaredge.cdm 6 Ha'Harash SL x"which is partof kit SE1000-RSD-xx is installed inthe inverter Safety Switch where xxxxx-xx is HOD HASHARON,ISRAEL - - any number;inverter part number may be followed by a suffix Subject: ETL Evaluation of SolarEdge.Products to NEC Rapid Shutdown Requirements This:letter report completes this portion of the evaluation covered by Intertek Project No.G101703554. Dear Mr.Meir Adest, If there are any questions regarding the results contained in this report,or any of the other services offered by This letter represents the testing results of the:below listed products to the requirements contained in the following Intertek;please do not hesitate to contact the undersigned. standards: Please note,this Letter Reportdoes not represent authorization for the use of any Intertek certification marks. National Electric Code;2014;Section 690.12 requirement for rapid shutdown. Completed.by: Radlle Patel Reviewed by: Howard Liu This investigation was authorized by,signed Quote 500534459 dated 06/10/2014.Rapid shutdown test were Title: Engineering Team Lead Title: Staff Engineer . perform at SolarEdge Technologies Ltd,6 Ha'Harash St HOD HASHARON,ISRAEL and witness by Intertek personal on 06/17/2014. Signature: Signature The evaluation covers installations consisting of optimizers and inverters with part numbers listed below. ..Date June 20 ,2014 ...Date: June 20",2014. .. .. The testing done has verified that controlled conductors are limited to not more than 30 volts and 240 volt- amperes within 10 seconds of rapid shutdown initiation. Applicable products: _ • Power optimizers.... .. o -PBxxx-yyy-zzzz;where xxx is any number,0-9,.upto'a maximum value where xxx.=350;yyy could be AOB or TFI;and zzzz is any combination of four letters and numbers. o OP-XXX-LV,OP-XXX-MV,OP-XXX-IV,OP-XXX-EV;where xxx is any number,0-9. o Paaa,Pbbb,Pccc,Pddd,Peee;where aaa,bbb,ccc,ddd;eee is any number,0-9 to a maximum upto,aaa=300,bbb=350 ccc=500,ddd=600;eee=700. o Pxxx;Pyyy,Pzzz,Pmmm,Pnnn and P000;where xxx,.yyy,zzz is any number;0'-9 to a maximum up to xxx=300,yyy=350,zzz=500;where mmm,nnn,coo is any number,0-9 to a maximum up to mmm=405;nnn=300,000=350 • 1-ph inverters: ... .... o SE3000A-US/SE3800A-US/SE5000A-US/SE6000A-US/SE7600A-US/SE10000A-US/ SE1140OA-US when the SolarEdge rapid shutdown cable labeled"MCI-CB-xxxxx-x'which is part of kit SE1000-RSD-xx is installed in the inverter Safety Switch where xxxxx-xx is any number; inverter part number may be followed by a suffix Paget oft .. This mport is loi tho exclusive use of Imertek's Cliem aM is prov,y Pursuant tti Me aproement betvoon Intenvk h ha Giant.m.N,'s razponsibiliry and Iia—g are Ilmitatl to Ma rums I rhl it n.of Mens Cli a is IntertekaswnresntllaGli,,anyaft—efthi w Clnd tiooccorCarce viMMe gr—m.ftlr,toss,expanse r Ear,ai occas k,by the I Mlz report.Only Yro Client is authotlzetl ro permit copying or tllsttlbWan of this report vntl Men only in 16 enuroty.Any use o/the Intertek Dame or one of its marks br Ne sole 1v atl a Is,—9 of the Mstetl material,product or mrvi[e must fitx be apprs. In writing by Ml Ms Tho obaorvv�onz vM lost results in this report are ratovvnt Doty My wmplo tested.TNs report by ItsvM tloos rrot Imply Mat Mo motorial.Dromct or aorvicv Is or M1vs over baso[wM^�^a�ran{lntvrla/k/cv��rlifl�\neon pogrom. ' `W#a/ 68A Itt kiC Page 2of2 Intertek IntCYlek . InteYlek In�t¢Y•I/¢k InteF.—h 1Ck Int;' Imertek Testing Services NA,tnc. So 12.1.2(11/11/10)Informative Intertek Testing Services NA,Mc. So 12.1.2(11/11110)Informative solar " 0 0 a solar ' 0 SolarEdge Power Optimizer Module Add-On for North America P300 /. P400 / P405. SolarEdgePower Optimizer ._._.....__........._..__... - _..__......__...__.. ....... .. - ..___...... .._.._.. _.....___.... _, _I P300 P400 I P405 (for 60<ell modules) I (for 72&96c 11 d k) (f thin film module I Module Add-On For North America INPUT - .Rated!nput DC Power _,...,, 300 ,.,,.... ,400 ........ 405 W P300 P440 P405 Absolute Maximum Input Voltage 0 a8 80 - 125 Vdc / / yot at lowest tem c ater¢ O :MPPT Operatin�Ran,ge........................„ 8-48 8-80 - 12.5-105 Vdc Maximum Short Circuit Current(Ise) _ 10 _Adc Maximum DC In ut Current ........ ....... ... 0 Maximum rfficiency. 99.5................................................... % ... "_.� We ghted Eff+clencY .................... .. 98.8.. .... .... ..... ............ ..'.?_... Overvoltate',ry OUTPUT DURING OPERATION(POWER OPTIMIZER CONNECTED TO OPERATING INVERTER) - - � M um-Output.Current .15Adc Maximum Output Voltage. 60 II 85 Vdc OUTPUT DURING STANDBY(POWER OPTIMIZER DISCONNECTED FROM INVERTER OR INVERTER OFF) _ Safety Output Voltage Per Power Optimizer _ 1 Vdc STANDARD COMPLIANCE _ _EMCPart15 Class R,IEC6l(l00 6 2 IEC61000 fi i ,• Safety _IEC62309 1,(lass 11 safety)UL1741 y ROHS Yes ro§Wy a0� INSTALLATION SPECIFICATIONS " Maximum Allowed System Voltage 1000 Vdc. Pxxx-2 series 141 x412x40.6 J6:66x 8.3"1.59 mm/in Dimensions lW x Lx H) 128x 162x 27.6J 1,28x152x 35/ ,28x 152 x48/ Pxxx 5 encs mm/m ...... ....... ..,..,Sx6.97x1.08 , �: .6z697z 137...,..L.,,,,6x6:97 xY,89 weight(includinP,cables) P%zx-2 series 950/2.1 .,gr/Ib. .......................................................................................................................... Pxxx-6 series ...........770..?: ...........I,_.......9301.2:06...........L.........930/,LOS..........._.gr/lb,.. ............—.......................................... .. In ut Connector ..........................................I Compa6ble.......................................... ,Connector, Double lnsulatedrAmphenol ............. ... ........... .. Outputng e p.erat 0.96,/3,0„ ....I........ .12/3:9................ .... .m Operannp Temperatu a Range Pxxx 2 seriesIP66/IVEMA4 gr/Ib Pro t¢non Rabng ..... ........................ .. Pxxx 6ser es IP68- NFMA6P.... ....................... Relative Humidi[Y............................................................................. 100- ...... z<;<a src Pow<.o++n<mm<I<.z+,ww<or<o+o.sx PPw«�oka�«an„<a. PV SYSTEM DESIGN USING - ASOLAREDGEINVERTEI I. SINGLE PHASE THREE PHASE 208V THREE PHASE 480V Minimum Iffin,Length PV,power optimization at'the module-levet Mawmumpsn g Length .. .... .... . s 10 18 UP to 25%more energy (Power Optimaers)....,_„ .....Power ........................5250,...,.........1........,..,..6000 „12750 W 1 Superior efficiency(99.5%) - - - - Parall I Str ngs of Different Lengths Yes Mitigates all types of module mismatch losses,from manufacturing tolerance to partial shading - •. ,ol,Or a tanons ,_. ..., ...... ........ ......................... .. i—dom PimiPs jesNVP1a. --Flexible system design for maximum space utilization - � � � .. . Fast installation with a single bolt - Next generation maintenance with module-level monitoring — Module-level voltage shutdown for installer and firefighter safety USA - GERMANY - ITALY FRANCE - JAPAN - CHINA - ISRAEL - AUSTRALIA www.solaredge'.us q - IRON RIDGE ROOF MOUnt System l�J AUTHORIZATION TO MARK This authorizes the application of the Certification Mark(s)shown below to the models described in the Product(s) < ai Covered section when made in accordance with the conditions set forth in the Certification Agreement and Listing Report.This authorization also applies to multiple listee model(s)identified on the correlation page of the Listing t` Report. This document is the property of Intertek Testing Services and is not transferable.The certification mark(s)may be applied only at the location of the Party Authorized To Apply Mark. p 'Applicant: IronRidge,Inc. Manufacturer: IronRidge,Inc. Y_'II Address: 1495 Zephyr Ave Address: 1435 Baechtel Road Hayward,CA 94544 Willits,CA 95490 ----- Country: USA Country: USA Contact: Yarn Schwarz Contact: Jim Norsworthy (800)227-9523 Phone: (510)225-0973 Phone: (800)227-9523 . - FAX: (707)459-1633 FAX: (707)459-1833 Email: yschwarz@ironddge.com Email:- jnorsworthy@ironridge.com Party Authorized.To Apply Mark: Same as Manufacturer Report Issuing Office: Lake Forest,CA ,Control Number: 4007559 Authorized by: for Thomas J.Patterson,Certification Manager ER CLASSIFIED E � us Built for solar's toughest roofs. Intertek This document supersedes all previous Authorizations to Mark for the noted Report Number. IronRidge builds the strongest root mounting system in solar.Every component has been tested to the limit 'vndeJ Wllrc blmaaal untlniarsame apreemem.m AY.omamanbme G,enlMe2adance vAN me aareemeM,la any bsa,ex or BamaBe oeeevamed and proven in extreme environments. "ymeB BrlSa«norlalnnWwa,"onweG�m em;ee o°sBoeoon� °aB:no,eWn�w,"nom n«yn,en�yuxam° `�nRalmnma a wee�e�o an n me aoreemenl aam ma aaw�m w,x n,r,r„nnna�a Ina ineerzex nam°r«me aa+B a awen�xmmll Orme muee mac al Bmaaa«aemea m„x Bowan�e�aw m mmu"iauai Fa•.ur r�m�ala reraaea se«.asare ro.:rep,r�e a araunre aBaa+nae„sa a me a�lun mare:,aaaaa�.:m Ilre�maaea. Our rigorous approach has led to unique-structural features,such as curved rails and reinforced flashings,and a��W meB aB«�mne"a lm anBan a,Nem G lel "anrBa��mme,e,aa is also why our products are fully certified;code compliant and backed by a 20-year warranty. Intertek Testing Services NA Inc. 545 East Algonquin Road,Arlington Heights,IL 60005 Telephone 800-345-3851 or 847-439-5667 Fax 312-2811672 Strength Tested PE Certified UL Subject 2703 Outline of Investigation for Rack Mounting Systems and Clamping Devices for Flat-Plate A Standard(s): Photovoltaic Modules and Panels,Issue Number:1,October 4,2010 All components evaluated for superior Pre-stamped engineering letters structural performance. F(a available in most states. Product: XR Rails with Integrated Grounding. Brand Name: N/A - - Models: 5"IGD-005,51-61GM05B,51-5000-001,and 51-65-001 ® Class Fire Rating Design Software Certified to maintain the fire resistance ® Online tool,generates a complete bill of rating of the existing roof. materials in minutes. Integrated Grounding 20 Year Warranty UL 2703 system eliminates separate Twice the protection offered by module grounding:components. Fe competitors. ATM for Report 101541132LAX-002' Page 1 of 3 ATM Issued:10-Nov-2014 ED16J t9 n-Jan IJ)Mandalay 0 IRONRIDGE Integrated Grounding System Installation Overview ® Install Roof Attachments Simplified Grounding Install appropriate roof flashing and/or standoff for roof type. fL For Greater Safety&Lower Cost t =..w.:--�.-�. •Attach L-Feet to flashing or standoff. Traditionally,solar modules are grounded by attaching lugs,bolts or clips to the module frame,then connecting _ _ ._ Prepare Rail Connections — these to a copper conductor that runs throughout the array.This process adds time and cost to the installation, Insert splice into first rail,then secure with Grounding Strap and , and often results in improper grounding;creating self-drilling screw. -term safety risks. significant long �-f Slide second rail over splice,then secure with opposite end of d The IronRidge Integrated Grounding System solves these Grounding Strap and self-drilling screw. < challenges by bonding modules directly to the mounting rails.This approach eliminates separate module Mount&Ground Rails grounding hardware,and it creates many parallel , grounding paths throughout the array,providing Attach Fails to L-Feet and level rails. ?a � greater safety for system owners. �~ ^ Grounding Mid Clamp Install one Grounding Lug per row of modules. , Each Grounding Md Clamp pierces through the • u anodized mConnect Grounding Lug to grounding conductor. the mountingrailto form secure electrical bonds, which are repeated throughout the array. - Install Modules&Clamps 't Install first module using End Clamps and Grounding Mid Clamps. ,: t install additional modules using Grounding Mid Clamps. Finish row with a second pair of End Clamps. y ` Testing&Certification The IronRidge Integrated Grounding: r Module Frame Compatibility - System has been tested and certified to Dimension Range - ° UL 2703 by Intertek Group.plc. A 31.0mm-51.Omm c 5.08mm(minimum) UL 2703 is aproposed UL standard B_.._...._ .-__. .for evaluating solar module mounting Any module frames whose parameters are not listed in the and clamping.devices.It ensures these promded table have not been tested for compatibility. devices will maintain strong electrical and /JJ 3 mechanical connections over an extended The Grounding Clamp has proven robust in grounding 60-cell and period of time in extreme outdoor environments. 72-cell solar module frames with box construction and a.range of anodization thicknesses. 2 The testing process Closely mirrors that All solar modules listed to UL 1703 and with frame construction Grounding Strap l .4 of UL.1703,the solar module testing-- within the parameters stated above are compatible with the Grounding Straps are used to. bond rail-ro-rad connections. standard,including temperature and IronRidge Integrated Grounding System. Grounding Lug humidity cycling,electrical and mechanical They are only required on the .. .A single Grounding Lug y _ rail with the grounding lug. connects an entire row load testing;and manufacturing quality O Go to ironridge.comAg .. .of.PV modules to the. reviews.. grounding conductor. dda 8431 Murphy Drive WLW+ Middleton,WI 53562 USA Starling /Madison Lofquist, Inc. Telephone:608.836.4400 Con3ulting Stru-crura 1. anl: .Fnret's3c Engineer=Fa innie: 608.831.9279 M-1 - wYN+:intenek.Com —�.«.t'' `Imp 5224 South 39*Street,Phoenix,Arizona 85040 Test Verification of Conformity tel:(602)438-2500 fox:(602)438-2505 www.sm[eng.com 1 IronRidge June 16,2014 in the basis of the tests undertaken,the sample(s)of the below product have.been.found to comply with the requirements of 1495 Zephyr Ave - Page I of 1 1 the referencedspecifications at the time the tests were carried out. Hayward,CA 94544 Applicant Name&Address: IronRidge,Inc. Attn:.Mf.David F.Taggart,Vice President Products _ 1495 Zephyr Ave. Hayward,CA 94544 Subject: IronRidge XR100 Rail,Roof Flush Mounting System.—Structural Analysis USA Product Description: XR Rails with Integrated Grounding. - Dear Sir. Ratings&Principle Fire Class.Resistance Ratina: Characteristics: -Flush Mount(Symmetrical).class A Fire Rated for Low Slope applications when using Type 1,2 We have analyzed the lronRidge XR100 Rail for the subject solar module Support system and and 3;listed photovoltaic modules. Class A Fire Rated for Steep Slope applications with Typel, detennined that, for the configurations and'criteria described below, it is in compliance with the 2 and 3,1 steel photovoltaic modules.Tested with a 5"gap(distance between the bottom the applicable sections of the following Reference.Docutneuts: module frame and the roof covering),per the standard this system can be installed at any gap allowed by the manufacturers installation instructions. No perimeter guarding is required. Codes:ASCE/SE[7-10 Min.Desi&n Loads for Buildings&Other Structures International Building Code 2012 Edition Models: 51-61GD-005,51-61GD-0056,51.5000-001 and 51-65-001 California Building Code 2013 Edition Brand Name: IronRidge Roof Mount Other: AC428,Acceptance Criteria for Modular Framing Systems Used to Support PV Relevant Standards:' - UL 2703(Section'15.2'.and 15.3)Standard for Safety Mounting Systems,Mounting Devices; Modules,dated Effective November 1,2012 by ICC-ES _ Clamping/Retention Devices,and Ground Lugs for Use with Flat-Plate Photovoltaic Modules Aluminum.Design Manual,2010 Edition and Panels,First Edition dated Jan.28,2015 Referencing UL1703 Third Edition dated Nov.18, . 2014,(Section 31.2)Standard for Safetyfor Flat-Plate.Photovoltaic Modules and Panels. - The IronRidge XR100 Rail i5 an extruded aluminum section with an overall depth or 2.438 in.and a Verification Issuing Office: Intertek Testing services NA,Inc. net area of 0.583 sq.m. The rails are used to support solar modules,:typically,on the roof of a 8431 Murphy Drive building. See Exhibit A–attached. The rails are clamped to aluminum angle brackets that are either Middleton;WI 53562 Date of Tests: os/z7/zo14 to 03/17/2015 attached directly to the roof framing or attached to a stand that is screwed to the roof framing. The Test Report Number(s): 09/27/014 to-3/171,101769343MID-OOla,101915978MID-001&101999492MID-OOlarl-crl. rails are mounted across the Slope with a small clearance(flush mounting)to the underlying roof This verification is part of the full test report(s)and should be read in conjunction with them.This report does not automatically. structure. The installed solar modules are at the same slope as the underlying roof structure. Imply product certification. All loads are transferred to the roof framing through the angle brackets by simple bi-axial flexure of Completed by: Chad Naggs Reviewed by: Gregory:Allen the rails. The maximum span of the rails is governed by either the mid-span flexural stresses or the Title: Technician ll,Fire.Resistance Title: Engineering Team Lead,Fire Resistance deflection require that the rail not Come intocontact with the i00f Signature: y' Signature: (i }' Date: 03/30/2015 Date: 03/3o/2D15 The effect of seismic loads(for all design categories A-F)have been determined to be less than the effect due to wind loads in all load conditions and combinations: Therefore,the maximum allowable spans for common load cases are shown in Tables 1,2&3 below for 0-6 degree slopes,Tables 4,5, &6 below for 1-.27 degree slopes,and Tables 7,8&9 below f6r,28-45 degree slopes. This Venficntion is for the exclusive use of intenes client and is provided pursuant ra the agreement between Intertek and its Client.Intertek's responsibility and liability are limited to the le—,and cariirians of the agree en,Intertek assumes no liability to any PartV,othe,Mail to the Client in vccardance wilh the agreement,far any lass',expense ardpmage occo r—olby the useofthi,Verification.Only the Client isauthori,,d to permit copying ardistribution of this Verification.Anyuse ofthe.lnterteknameoroneolids - - - rnprksforthesaleoradvertisementofthetestedmureriai,produYarservfcemustfirslbeapprovetlinwntingbylnieRek.The,observationsondtest�nspecfonresults Starling Madison Lofquist,Inc. Consulting Structural and Forensic Engineers - refere Ceti m this VenJicatton ore relevont only to the sample testedjinspected.This Verffictnwa by ilseiif daes not imply that the material,product,or ,vice is or hos ever been - underanlntehekce&ficchdnpmy m. GFT-OP-1 la(24-MAR-2014) IronRidge June 16,2014. IronRidge June.16,2014 Mr.David F.Taggart Page 8 of I I Mr.David F.Taggart Page 9 of l 1. IronRidge XR100 Rail,Roof Flush Mounting System-Structural Analysis IronRidge XRI00 Rail,Roof Flush Mounting System-Structural Analysis Table 7-MAXIMUM SPANS(inches)-Roof Slope 28 to 45 Degrees-Wind Zone S Table 8-MAXIMUM SPANS(inches)-Roof Slope 28 to 45 Degrees-Wind Zone 2 XR100 Wind Ground Snow Load XRS00 Wind Ground Snow Load - Rail Speed Rail Speed Exposure mph 0 psf 10 20 30 40 50 60 70 80 90 Exposure mph 0 psf 10 20 30 40 50 60 70 80 90 PSI sf sf sf sf sf p sf sf p sf sf psf- p sf psf psf psf psf psf psf 100 107 98 84 75 67 61: 56 52 49 46 100 107 : 98 84 75 67 61 56 52 49 46 105 107 98 84 75 67 61 56 52 49 46 105 107 98 84 75 67 61 56 52 49 46 110 106 97 84. 75 67 61 56 52 49 46 110 106 97 84 75 67 61 56 52 49 46 120 101 94 82 74 67 61 56 52 49 46 120 101 94 82. 74 67 61 56 52 49 46 CateBgory 130 96 91 80 72 66 61 56 52 .49. 46 CateBgory 130. _94 91 80 72 66 61 56 52 49 46 140 91 88 78 70 65 60 56 52 49- 46 140 88 88 78. 70 - 65 60 56 52 49 46 150 87 85 76 69 64 59 56 52 49. 46 150 83 83 76 69 64 59 56 52 49 46 160 83 82 74 67 62. 58 55'.. 52 49:. 46 160'.. 78 78 :. 74. 67 62 58 55 52 49 46 170 79 79 72 66.. 61 .57 .. 54 51 49 46 170 74 74 72 66 61 57, 54 51, 49 46. 100 101 94 82 74 67 61 56 52 49 46 -100 101 94 82 74 67 61 56 52 49 46 105 98 93 81 73 67 61 56 52 49 46 105 98 -- 93 81 --73 67 -61 56 52 49 46 110 95 91 80 72 66 61 56 52 49 46 110 94 91- 80 72 66 61 56 52 49 46 120 90 87 77 70 65 60 56 52 49 46 120 87 87 77 70 65 60 56 52 49 46 CateCgory 130 85 84 75 68. 63 59' S6 52 49 46 CateCgory. 130 81 81 75 68 63 59 56 52 49 46 140 :81 80 72 66 62' 58 55 52 49 46 140 76 76 72 66 62 58 55 52 49 46 150 - .76 76 70 65 60 57 53 51 49 46 150 71 71 70 65 .60. 57 53 51 49 46 160 73 73 68 63 59 55 -52 50 48 46 160- 67 67 67 63 59 55 52 50 48 46 17069 69 66 61 .57 - 54 :51- 49 47 45 170- -64 64 64 6157 54 -51 49 47 45 100 96 91 80 72 66 61 56 52 49 46 100 95 91 80 72 66 61 56 52 49 46 105 93 89 79 71 65 61 56 52 49 46 105 91 89 79 71 65 61 56 52 49 46 110 90 87 77 70 65 60 56 52 49 46 110 87 87 77 70 65 60 56 52 49 46 120 85 83 75 68 63 59 55 52, 49 46 120 81 81 75 68 63 59 55 52 49 46 CateD ory 130 80 80 72 66 61 58 54 52 49 46 C.,.Dgory 130 75 162! 72 66 61 58. 54 52 49 46 140- 75 ---75 70 64 60 56 53 51 48 46 140 70 70 64 60 56- 53 51 48 46. . 150 71 71 67 -62 58 55 52 50 48 46 150 66 66 62 58 55 52 50 48 46 160 68 68 65 60 57 54 51 49 47 45 160 62 62 60 57 54 5149 47 45 170 64 64 62 58 55 52 50 48 46 44 170 59 59 58 55 52 50 48 46 44 Notes-see page I t Notes-see page 1 1 Starling Madison Lofquist,Inc. Consulting Structural.and Forensic Engineers Starting Madison.Lofquist,Inc. _ _ Consulting Structural and Forensic Engineers.. _ 8_ -9- IronRidge June 16,2014 IronRidge June 16,2014 Mr.David F.Taggart Page 10 of 11 Mr.David F.Taggart Page l I of 1 I. IronRidge XR100 Rail,Roof Flush Mounting System—Structural Analysis IronRidge XR.100 Rail',Roof Flush Mounting System-Structural Analysis Table 9-MAXIMUM SPANS(Inches)-Roof Slope 28 to 45 Degrees-Wind Zone 3 Notes-Tabulated values are based on the following criteria: XR100 Wind Ground Snow Load 1. Building mean roof height=30 ft Rail Speed 2. Risk Category I Exposure mph 0 psf 10 20 30 40 50 60 70 80 90 3. Solar module long dimension=67.5in sf sf sf psf psf psf psf psf psf 4. Provide 2 in,clear between roof and rail 100 107 98 84 75 67 61 56 52 49 46 5. End cantilever span(max)=0.40 x maximum span from above tables 105 107 98 84 75 67 61 56 52,. 49 46 110 106 97 84 75 67 61 56 52 49 46 6. No rail splices in end spans 120 101 94 82 74 67 61 56 52 49 46 7. No tail splices in middle 1/3 of interior spas Category 130 94 91 80 72 66 61 56 52 49 46 8. Single simple span(s). Spans listed in the tables above may be multiplied by 1.08 for B 140 88 88 78 70 -65 60 56 52 -49 46 continuous rails of 3 or more spans. 150 83 83 76 69 64 59 56 52 49 46 160 78 78 74 67 62 58 55 52 49 46 170 74 74 72 66 61 57 54 51 49 46 Our analysis assumes that the rails,including.the connections and associated hardware,are installed. 100 101 94 82 74 67 61 56 52 49 46 in a workmanlike manner in accordance with the"IronRidge Roof Mount Installation Manual" by 105 98 93 81 73 67 61 56 52 49 46 IronRidge and generally accepted standards of construction practice. Additional information is 110 94 91 80 72 66 61 56 52 49 46 available at the IronRidge web site,fronRidge.com. Verification of PV Module capacity to support 120 87 87 77 70- 65 60 - 56 52 49 46 the loads associated with the given array shall..be the responsibility of the Contractor or Owner and Category 130 81 81 75 68 63 59 56 52 49 46 not IronRidge or Starling Madison Lofquist. C 140 76 76 72 66 62 58 55 52 49 46 150 71 71 70 65 60 57 53 51 49 46 160 67 67 67 63 59 55 52 50 48 46 The adequacy of the supporting roof framing is to be determined by others. 170 64 64 64 61 --57 54 51 49 47 45 1 - - ' 100 95 91 80 72 66 61 56 52 49 46 105 91 89 79 71 65 61 56 52 49 46 Please feel free to contact me at your convenience'if you have any questions. 110 87 87 77 70 65 60 56 52 49 46 .✓? 120 81 81 75 68 63 59 55 52 49 46 CateDgory 130 75 75 72 66 61 58 54 52 49 46 Respectfully yours, vt sq 140 70 70 70 64 60 55 53 51. 48 46 TR S J. cyc C• /(� 150 66 66 66 62 58 55 52 50 48 46 a r 160 62 62 62 60 57 54 51 49 47 45 o WAFiNER m CIVIL y ' 170 59 59 59 58 55 52 ,n I 48 I46 44 Tres Warner,P.E. " NO, 043 Design Division Manager 0�ssortTIC ,) Notes—see page 11 ... FSsrcNAL k#G i i Starling Madison Lofquist,Inc. Consulting Structural and Forensic Engineers Starling Madison Lofquist,Inc. _ _ Consulting Structural and Forensic Engineers -t0- lt- Z. E-Mount Lag I QMSE - LAG E-Mount Lag Installation Instructions Installation Tools Required:tape measure,roofing bar,chalk line,stud finder,caulking gun,sealant compatible with roofing materials, THIS EDGE TOWARDS ROOF RIDGE ITEM DESCRIPTION on./BOX drill with 7/32"long-style bit,drill or impact gun with 1/2"socket. 1 FLASHING,9"XIZ'X.040",5052.MILL I e e - 2 OBLOCK;CLASSIC,A360.1 CAST AL.MILL I 3 PLUG,SEALING,5/16'X 7/8,EPDM 118-8 SS 1 r — " c 4 LAG SCREW.HEX HEAD 5/16"x51/2'118-8SS .I 5 IWASHER,FENDER,5/16ID X 1-1/4"OD,I"SSI I' - / RACKING COMPONENTS NOT INCLUDED F_ S IS r 1 I t � Locate,choose,and mark centers of rafters to be Carefully lift composition roof shingle with roofing Insert Flashing between 1st and 2nd course.Slide ! - mounted.Select the courses of shingles where bar,just above placement of mount:Remove nails up so top edge of Flashing.is at least 3/4"higher mounts will be placed. as required.See"Proper Flashing Placement"on than the drip edge of the 3rd course and lower -_4 5u .J next page. Flashing edge is above the drip edge of 1 st course. Mark center for drilling. --- _._-9.011 _5 2 _ 11 > .29 Quick Mount M TITLE: QMSE-LAG:QMPV E-MOUNT AVAILABLE IN MILL:AND' v BRONZE ANODIZED FINISHES WITH LAG BOLT SIZE DRAWNSY: DFM REV Rn �+ ..nmu.wcoxa.+w A DATE 81VIX14 1 ►�,._ - .,"�. +.r.roe.uw>«.u.u.ww,xeouxweo,.e,ourrurwrca.oz..nw,r....unoocrc,.wr.awuuo eorscnu onnwuc 'u :a SeeTi a1 1 �—� - - "'," w � .wb.s.r�an mewme..w,.�.unuc.uw.Trver®waw. vavue[oce .Kue wrGer0.v6 "-` u' 5 -4 3 2 1 Lag pLill-out(withdrawal)capacities(Us)in typical lumber: Using drill with 7/32"bit drill pilot hole into roof Clean off any sawdust,and fill hole with sealant Slide the Flashing into position.Insert the rubber Lag Bolt Specifications and rafter,taking care to drill square to the roof. compatible with roofing materials. plug into the QBlock cavity. Do not use mount as a drill guide.Drill should be spe--1, ;,16•an—r9-mma—ert SIE shen a.retread loan 'long style bit:akaaircraft extension bit'to drilla ow,9ma Fr.Lamh so >96 _ zds 1Y"deep hole into rafter. Dw9!m F!r,South .ad 705 395 F 9 s1.SP Ia19ePele P'ne(MSR 1650,8 N,her) 46 705 H FIr 43 - 698 .46 708 395 SmlhvmP .fi5 931 367 ` {, —�.. p Se�uce P' F' .42' 615 20$ SprvceP FE 2 II.P aM M5her grades ofMSR antl MEI:1 so' Sources Amer can Wood Couni I,NOS 200STable 11,2 A,11,12 A f Notes. 11Thread mus[be embedded'nara(ter or other structural roo(member. 21 See NDS Table 1 151 C for sequ red edgedi,­­. Quick Mount PV slide the washer and the L-foot(not oc included)onto Using a 1/2 inch sket on an impact gun drive RESPECT'THE ROOF the lag screw. the lag screw until the QBlock stops rotating easily.- - DO NOT over-torque. B17.2.3-31 Sep-2014,Rev 1 BI 7.2.3-31 Sep-2014,Rev 1 Locus Product Datasheet DIAGRAM-TYPICAL CONFIGURATION Fill ENERGY ®®O 0O0 Shielded CATS _ O®O MCI' ®00 O INTERNET DOD 01 `` •o��p�s�� �\ • • •91 MP• • • 1.t T 1 I�O�1121111211011 8E20 EMCM -N7 lu=.yts pit ME21011 0010L:::90 0�0 CI go ' � • • ')•iRpQ�o,ItflstlEr ®0�a1.1�0 ELECTRICAL: • • • • • • • • ;�.F' D���O SERVICE INVERTER(5) LGATE 120 a PV ARRAY ,. • • • I ,_" "'` .z DIMENSIONS - SOCKET METER LOCUS ENERGY METER BASE COMM MODULE - METER MODULE 6.95 in The LGate 120 combines a revenue-grade,solid-state power meter with an advanced communications gateway: ? p 6.30 in These components work in conjunction to remotely monitor the performance of residential solar energy installation regardless of panel or inverter type.The LGate 120 is a one-piece completely under glass meter which installs easily using a standard socket base,Performance data is uploaded In near real-time to the Locus Energy SOIarOS °° '�, monitoring platform which provides a suite Of tools and analytics for asset managers. ++ F ��5.46 in L— 6.00 in--. - 7.30 in DATA COLLECTION - - - - - AC energy data is collected by the meter and passed to.Lhe communications module.Additional system performance data can be collected directly from meteorological sensors and supported inverters via available RS-485 or Zigbee connections.All data is stored in non-volatile memory and then automatically uploaded to the-SelarOS and. SPECIFICATIONS. SolarNOC platforms. Processor. ARM9 embedded CPU Accuracy ANSI 12.20(Class 0.2%) - 0s Custom version of Linux 2.6,OTA fnnrware u rdates Voltagelnputs 120-480 VAC NETWORK CONNECTIVITY Memory 128 MR RAM Max.currentmput 20Q - Phare. The communications gateway Inside the LGate.120 supports plug and play cor.nectiydy through a cellular Or availableDisplay LCD screen Service Type Single 60 Hz. :soeHet,Type 2S - --- Ethernet network connection.Once the unit is installed and powered on,it will immediately begin transmitting data _ - - - without any configuration.For maximum reliability,the communications gateway will automatically route uploads Encrosme NEMA 3R Type between the wireless and wired connections if either of the networks are Unavailable, weight 8 er�: ANSI 12,20 class 62% Dimensions 6:95'x G.5",x 7.3' FCC Part Ise. Environment -20 to 60C.all-weather PTCR8 FEATURES - Warranty 5 year limited warranty ����� AT&T Carrier Compliance - ---- • ANSI 02.20 power meter •:Easy:low cost installation • RS-485 and Zigbee Inputs Doesn't require entrance into the building c.114—, 1.6-120JGx LGsto120-3Gy LGara120-3Gx Cellular-3G GSM ✓ ✓ ✓ • GSM cellular or Ethernet connectivity Plug and play activation RS-4852 and 4 wo-e ✓. Over the air firmware updates LCD display Mpmms ✓ Zigbee .. ✓ Ethernet R3-4510/100.DHCP/Static ✓ Single Meter Sockets -Without Bypass Single Meter Sockets -Without Bypass vq 125&200 Amp 125&200 Amp Application . • Single meter position .. "` Receive ANSI C12.10 watthour meters ` • �,-- «� Surface or flush mount(see chart) - - 13=.�r -� _ + 011 F-Flush Mount lw=tA.!?' Construction Ring type (U)204 MS68-2"Conduit Hub lA !h'- 2A !h' t/" +. NEMAType 3R (U1207 + O MS68A-MS73MS68 • UL 4F 2' Ph' P/a' 1' •ANSI 61 grayEcoat finish 927 MS73-AL Screw Type Ring '.a •Aluminum snap ring included SF-Semi Flush Mount Top Provision=See Chart R SS-Stainless Steel Standards Accessories UL 414 Listed 5tH Jaw Kit-50365- .- •ANSI C12.7 200A Triplex Ground-ETB200 Knockout Layouts 0111(closed) U204(open) AW Hub PertlUP6 Catalog Amp servioe C'eri rn Fig.1 _ Fig.2 Number Number gating Jawe Type Accees Line Load Neutral 9 -a 78205192000 011 125 4 101 OH/UG 814-2/0 #147 814-210 Tap Provision To,Provision... 76205142040 011 F 125 4 10/3W OH/UG 114-2/0 114-2/0 814-Z/0 - 76205142045 011 MS73 125 4 10/3W OH/UG 814-Z/0 814-2/0 814-2/0- 78205142050 011 SF 125 4 10/3W OH/UG 814-2/0 814-2/0 114-2/0 78205144030 927 100 7 30/4W 0H/UG 114-110 814-1/0 814.2/0 - 78205156000 204 200 410/3W OH 86-250MCM e6 250MCM 96-350MCM O 702051$6020 204F 200 � � 4 10/3VJ OH 86-250MCM 86 250MCM #6-350MCM ' 78205156030 204FMS73 200 4 10/3W Of 86-250MCM 06 250MCM #6-350MCM .. 78205156040 204 MS68 200 4 10/3W OH 86-250MCM #6-250MCM 86-350MCM . 78205156035 204 MS68A 200 4 10/3W OH 86-250MCM 86-250MCM 86-350MCM - 78205108490 204 MS73 200 4 10/3W OH 86-250MCM 86-250MCM 86-350MCM 4F 78205156005 U204 200 4 10/3W UG e6-250MCM 86-250MCM A-350MCM 4F 4F 4F 76205156045 U200 F 200 4 10/3W UG 86 250MCM e6 250MCM -86 350MCMw.a e4atn 78205156060 U204FMS73 200 4 10/3W UG e6 250MCM 86 250MCM e6 w 350MCM 1A. IIf��/,,n1II�- 78205156070 U204 MS73 200 4 "10/3W UG 86 250MCM -16.250MCM 86 350MCM 4F'1to 78205156140 U207 200 7 30/4W OH/UG 86-25DMCM 86-250MCM 86-250MCM - '- 76205156170 U201 200 7 30/4W UG 86-250MCM 86-250MCM #6 250MCM 78205158180 U207 MS73 200 7 30/4W OH/UG 86-250MCM #6 250MCM 86-250MCN1 PerUUPC Catalog -overall Dimensions Felt Knockout - --- -- Number Number Height Width Depth lin iaian Layout - Fig.3 -Fig.4 78205142000 011 12" 8" 45/0" 'AW Hub p rov 78205142040 011 F 12" 8" 41/e" 2"max KO Fig.1 To P ision Top Provision 78205142045 011 MS73 12"_ 8' 4'/s" AW Hub _ Fig.1 78205142050 011 SF 12" 8" 0/a" 2"max KO Fig.1 78205144030 927 ,-.17" 8" 41/e" AW Hub Fig.1 78205156000 204 15" 8" 4'yn" AW Hub Fig.2 .. 78205156020 -2D4 F 45"- 6" 6 - 2"max KO Fig.2 -- - .. 78205156030 204 F MS7315" 87 6 ...2"max KO Fig.2 78205156040 204 MS68 15" 8" 45/e" AW/2"Hub Fig.2 qP 78205156035 204 MS68A 15" 8" 4s/u" AW/2"Hub Fig.2 .. 443 78205108490 204 MS73 15" -8" 41/e" None Fig.2 --l 78205156005 UZ04 15" 12" 4/e" None Fig.3 - - - - 78205156045 U2D4 F 15" 12 6" (212'max KO Fig.3 - - 4G - -- 78205156060 U204 F MS73 15" 12" 5/ None Fig.3 aF v°4b°`F.b. =4G2A 443 4G . 78205156070 U204 MS73 � 15" 12" : -4s/a" None -- Fig.3 - 78205156140 U207 18" 12" 5" AW Hub Fig,4, AIC Note. - 78205156170 U20/F -- :18" 12" : ':5" 2'/i"rnax'KO Fig.4" For short circuit current - 4G: : 1W - - - 78205156180 U207 MS73 18" 12" 5" AW Hub Fig.4 ratings see page 131. - B-Line Data subject to change without notice Consult local unity for area acceptance.All dimensions are in inches. Data subject to change without notice Consult local utility for area acceptance.All dimensions are m inches. B-Line by F-,T- I. 5 Meter Mounting Equipment Meter Mounting Equipment 6 by E:T•N Q CCUS ENERGY October 22nd,2013 This letter is to certify that the LGate 120 and LGate 320 are communication boards built into the Vision Meter 2S CL200 and 16S CL320 socket meters,respectively. Each of these meters was certified to the ANSI C12.20(class 0.2%)standard by Underwriters Laboratory on lune 7,2013 as part of the Vision Meter Family(Project Number 12CA71134,Job Number 1001541515,and Report Number R12CA71134- ANSI). ANSI C12.20 is currently recognized as the industry standard for electrical socket meters in both utility and PV monitoring applications.These tests cover both meter accuracy as well as several safety standards including electrical and environmental safety,as well as resistance to various types of mechanical shock. As electrical socket meters are generally installed and maintained by trained and certified professionals,rather than consumers,they do not fit the typical criteria for additional types of UL or IEC certification. If you have any further questions regarding the product certification of any Locus Energy LGate-branded device,please contact us at suorort�locusener�v.com. The Locus Energy Team Locus Energy,LLC www.locusenergy.com Classic Conduit Composition Mount ( QMCC Classic Conduit Mounting:Instructions Installation Tools Required:tape measure,roofing bar,chalk line,stud finder,caulking gun,1 tube of appropriate sealant,drill with - 1/8"bit,drill or impact gun with 7/16"deep socket. - THIS EDGE TOWARDS ROOF RIDGE ITEM NO. DESCRIPTION QTY,1RASH!NG, 2 QBLOCK7'X 12"x.040",5052.MILL I I _ _ • • • .CONDUIT 1/16",606146,MILL 1 WASHER.SEALING.1/4"ID X 7/8'OD,EPDM ND _ 0 BO DIED SS 4 LAG SCREW,HEX HEAD.1/4"x2-1/2',18-BSS 7 AVAILABLE IN MILL,CLEAR ANODIZED, ' b' C AND BRONZE ANODIZED FINISHES. ' •`� r 2' ' .. 12.0 Am=y;,. CONDUIT CLAMP :5 NOT INCLUDE ' 1.3 23 - - Choose placement of conduit mounts along path Lift composition roof tile with roofing bar,just Slideconduit mount into desired position.Remove 2,5 of conduit Select location over center of rafter. above placement ofconduit mount any nails that conflict with getting the mount Flush 3 with front edge of shingle course.Mark cernter for ® drilling. 4.5 2. a .r.. ..� 9. .79 Quick Mount PV: c' a TITLE: - { QMCC:CLASSIC CONDUIT COMPOSITION MOUNT , SIZE DRAWNbr: RAD REV •+* owono,aus Niacaa .•t' a A DArE: 9n4/2013 4 ,... .... .-.. „ r .�ur�wa.r«.^r,.a,,.�a..�r,w.:rv4..�gm. •••,",m"'o.,,,..�au oow�:urecu.,w tc Eoccrw...�.Ivs sales wncM.a.m .11T l ova Using drill with 1/8"long bit,drill pilot hole into Clean off any sawdust,and fill hole with roof Lift shingle and slide conduit mount into place. 5 4- 3 .Uc 2 , roof and rafter.taking care to drill square to the manufacturers approved sealant. Prepare lag bolt with sealing washer and single hole' roof. clamp(not included)as shown.Insert lag through, ..... _,Ig PLJII-OUt(withdr—al)capacities lbs)in typical lumber hole in block and position clamp overconduit. 77 Lag Boll Specificat ons -Sp-Iti,G-dy 114apatl Port;--read daWF t ld'eheh per V m-1 depth Dolga Fir,l cl, 50 393 225 ®l Dough F'So U, As 35 202 ��V•LC► Engem Spm..L.dg—lii,Pe(MSR 1650 f&higinorl .46 353 ,202 Hem.Fir - .43 3t3 : 119 IIom,Fir IN—) i' As 353 202 s' �.�•{����ry+�yy(��YY��y��!•�t�!•�� SMM1em Pine .55 455. 260 �i'JrL�414�Yi4/F�':ywai:G4iJ SP-e,Pine..'v 42 302 t)3 /T Spn.ce P"re.Fir(E of2mi!ioe psiaM-1,9Mr9radas of MSR arvI MEI.) .50 393 225. 'j Sources.American Wood Council,NDS 200S,Tabte 11.2 A,11 3.2 A .. Notes: ] must be embedded ina rafter or other structural roof member. - 2)SeeTT Insert lag through hole in block,and position IBCf—egaired edge distances. IMPORTANT:To maintainwater fin —t that thealuminum flashin (item 1)1, fared underone full course'ab—the mountin blockvifthat least someofthe - Clamp Over conduit.Using drill With 7/16".Socket, prop git is impo g prope,typ g nashinq ewtelMing up under the course abovethal a..wu wlnen�re„n.,.n hart drive lag until block is tight quick MountPV® Quick Mount PV RESPECT T i'E ?OOP 925-478-8269•www.quickmountpv.com •info@quickmou ntpv.com 817.2.3-8 Aug-2014,Rev 4 BI 7.2.3-8 2700 Mitchell Dr.;Bldg2•Walnut Creek,CA 94598 _ Aug-2014,Rev 4 Q2013 by Quick Mount PV.All rights reserved. • 7461 TH Of`NOR14, f 3? O TOWN OF NORTH ANDOVER D • PERMIT FOR GAS INSTALLATION SAC NUSEtSy \\\ t A R This certifies that . ��f�l!. . . �:. . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . .L . . . . . . . . . . . . . . . in the buildings of �rG1��. .�ta�� . . . . . . . . . . . . . . . . . . . . �} at . . .0. •�� . . . . . . ., North Andover, Mass. Fee. Lic. No.. . . . . . . . . . . . . . . . . . . . . . ..... ? l GAS INSPECTOR Check# J v MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: lv04 )6�J�P- MA. Date: ��` ='' ID Permit# s' Building Location: /'D�� , 7�' Z ' Owners Name: ?"jL d- 6f Type of Occupancy: Commercial ❑ Educational ❑ Industrial Institutional E] Residential ❑ New: ❑ Alteration: E] Renovation: ❑ Replacement: Plans Submitted: Yes❑ No ❑ FIXTURES coW W Cd Z WQ Q = N O W vi D = O W W U CO H O = W W Z F Z J W Z W O H N w w w m 0 a a o w x Of > V w cn (7 w Co o w Lu _ LL W Q w w z �a = W � z W W > U W Z O J H H O Z J 0 LL N F=- W W Z W N -u Q Q m w O z 0 ~ v o o _ = g >O a° � > > > o SUB BSMT. BASEMENT q -isrFLOOR r, 2myFLOOR 3 FLOOR 4 FLOOR 51HFLOOR 6TH FLOOR 71HFLOOR 8 FLOOR Check One Only Certificate# Installing Company Name: �'`��� ��`"'�'''�(' t� ❑Corporation Address: �`� 9 ( 6 City/Town: a�Sfi� State: 60 . ���` �( � ❑Partnership 3 Business Tel: 7 Fax: Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes ❑ No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ElSi nature of Owner or Owner's Agent By checking this box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code d C er "he General Laws. Type,df License: By [Plumber Title ❑Gas Fitter Signature License lumber/Gas Fitter ❑ Master t/ -7 City/Town ❑Journeyman License Number: ��7 i/ APPROVED OFFICE USE ONLY ❑LP Installer " "A Ek:t7lUl�`��i'i \ y_ ISSUES 7HE ABDVE LIGEiVSE 70.. y'+ t t.. 32 POLLAF2U ' Dx�fAl v 1 s J J f/ •-sew:y�.rr,r-... �-.y,..o- ,.- -�_.,�,r....,-_....: _ -. r w -. Location f3o. d.S�G Date &1)fS NOR*M TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ c�SSACMUSEt Foundation Permit`Fee $, c Other Perm! tFe�� $ � c� U r y�er Connection Fee $ 5 Water Connection Fee $ TOTAL $ c�� 0 U Y2, Building Inspector •� �/ 6665 Div. Public Works Location NO �.3 � t^^� ,f. Date Wfl�' . jORTH , TOWN OFRI.�RTH ANDOVER �? •.. _'_ a O� F p Certificate of Oe,�up�ncy 4$ ` Building/FramePermit Fee $ � �,SSAOMUS S� Foundation PerFee $ Other Permit Foe $ � lot r Sewer Connection Fee $ i Water Connection Fee $ TOTAL $ �G• , �� � ,S,7-6 Building Inspector `mo i 6599 Div. Public Works r , Location (216 A14YIe— '7�_,(U, _11W 1 4 No. 036 Date ko"T" TOWN OF NORTH ANDOVER Opp:`tato ,,*.,y�o� � 3 „ Certificate of Occupancy $ ` Building/Frame Permit Fee $ 3 t -.Foundation Permit Fee i � (tAr,,dther Permit Fee $ Sewer Connection Fee $ a3 Water Connection Fee $ TOTAL $ wilding Inspector 6060 Div. Public Works a r..,µ. ✓......",f•i.�r.�nay.,: T��y._ � .�,, .. .F, .... r .- �. Y.. .. �. cation No. Date pGRr TOWN OF NORTH ANDOVER Cf�t. o �1ti . 9 Certificate of Occupancy $ a Building/Frame Permit Fee $ Foundation-Peri $ � d ACMUS _ r �:-4 Z4 Other Perm;9f:FgqR C0LIECT03 $ Sewer Connection Fee $ � �'� � i Water Connection Fee $ /f TOTAIFEB 2 1993 f$ �! 7 6t Building Inspector Div. Public Works /' Location No. / �- 1/ `° Bate ;,ORTM ,.TOWN OF NORTH ANDOVER Of X. A Certificate oPOccupank,y,: $ , Building/Frame Permit Fee s',., `A Foundation Per t Fee is C us Other Permit Fee is 25 Sewer Connection Feed �cis Pb-jr�g�Z3� A136 Water Connection Fee 49 �l TOTAL I$ 0` �. � 4' Buf lding Ins ector ' - Div. Public Works 1 PEBMiT 1V4. ( ' APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. / /A'/?.�,Y 6 /IPAGE 1 .VAP d40. LOT NO. 12 RECORD OF OWNERSHIP iDATE (BOOK PAGE ZONE I SUB DIV. LOT NO. / LOCATION ` PURPOSE OF BUILDING OWNER'S NAME u� NO. OF STORIES OWNER'S ADDRESS ENT OR SLABC�(r-� ARCHITECT'S NAME ` SIZE OF FLOOR TIMBERS IST !X 2ND !7 % Lo 8RD �[j BUILDER'S NAME _ SPAN - DISTANCE TO NEAREST BUILDIN DIMENSIONS OF SILLS DISTANCE FROM STREET l POSTS DISTANCE FROM LOT LINES—SIDES " REAR j GIRDERS AREA OF LOT FRONTAGE j�/h- HEIGHT OF FOUNDATION THICKNESS7-7 i6kg IS BUILDING NEW (V� SIZE OF FOOTING [� X )pa f/ C✓ IS BUILDING ADDITION MATERIAL OF CHIMNEY �! IS BUILDING ALTERATION IS BUILDING O OLID R FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY L./ IS BUILDING CONNECTED TO TOWN SEWER ' IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY IN RMATION f - LAND COST s SEE BOTH SIDES 8Lwrmm+R /we. 31� 'r"' EST. BLDG. C08T,��Q, PAGE 1 FILL OUT SECTIONS 1 - 3 LESS FDA fEE /v � 0��� EST. BLDG. COST PER BQ. FT. I PAGE 2 FILL OUT SECTIONS 1 - 12 DUE FRAME PERMIT$ 5-3r- D EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING (/II 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED'AND APPROVED BY BUI :INSPECTOR DATE FILED W, BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT ' F E E R 1 / 4 3 NER TEL.#+ D PLANNING BOARD s PERMIT GRANTED _ TR.TEL. # . XONTR. 19 LIC. BOARD OF SELECTMEN JAN 2 6 ��a �7 euILDINa I ePscroR _ a BUILDING RECORD i 1 OCCUPANCY 12 SINGLE FAMILY _ STORIES - THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. PAMILY� oFFlces LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. .WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d t -2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ '/, 1/1 1/4 FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM _ MODERN KITCHEN 4 WALLS I 9 FLOORS { CLAPBOARDS B 1 2 3 4 J DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D ``- ASBESTOS SIDING COMMCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY' ATTIC STRS. & FLOOR _ { q•• s. r,•��y BRICK ON FRAME I '.,.°.-.�<�...-.gym,.�..wownw re.._.s...a...,...;.,...R•,i.;T'i {�f Y,vt••.S CONC. ORCINDER BILK. �� ��eti.... rt'f.'a,�;+' g. +.,>.,ppr3 •ea°• t STONE ON MASONRY WIRING STONE ON FRAME ' SUPERIOR POOR ADEQUATE i-i NONE \ ` 5 ROOF 10 PLUMBING - GABLE HIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY - WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER - ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. t TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR , f' WOOD RAFTERS AIR CONDITIONING , RADIANT H'T'G UNIT HEATERS 1 P GAS 7 r NO. OF ROOMS OICTRIC L I `t B'M'T 2nd ELE 1st \ I�3rd, i I NO HEATING 1 r FORM U - LOT REtEA.SE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction 7 have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: eccd 61)A q� 0011, Phone Q j LOCATION: A essor's lapp Number Parcel Subdivision Lots) Street ; St. Number -±46 *****************'******Official Use RECOMMENDATIONS OF TOWN AGENTS: • � � Date Approved Conservation Administrator Date Rejected Comments Date Approved � � q Town Planner Date Rejected Comments ==�- � A Date Approved _ FIe'alth Agent Date Rejected Comments227�6L?AJ Public Works - sewer/water conon_SV - driveway permit f � Fire Department VV Received by Building Inspector Date JAN 2 6 'r COMMONWEALTH DEPARTMENT OF PUBLIC,SAFETY OF 1010 COMMONWEALTH AVE. � l`�1AACFlLlSETTS BOSTON, W.02215 �W;" ENCLOSE CHECK OR MONEY ORDER LICENSE FOR REQUIRED FEE, EXPIRATION DATE CONSTR. SUPERVISOR 06/30/1993 116.9MADE PAYABLE TO RESTRICTIONS a EFFECTIVE DATE LIC-NO. 6 NONE a 06/30/1941 OO$S8T CO SIONOF P BLI ETY" T Lf GARY A KELLOWAY g too ►66�3ENAsI ORANDREAL018SS V 001-46-0822 NHT .AOVEH45P TEASE NoARRFiE6 FMREASE "OTO(BLASTING OPR ONLY) FEE: 100.00 E FECTIRPEFE�1, X89 HEIGHT: NOT V ID SIGNED 8Y LICENSE D OFFICIALLY 0 q STA - q-SIGNATOR T OMMISSq>•1ER DOB: 04./03/1954 . D NOT DETACH LICENSE STUB THISCAR DOCUMENT MUST 9E. SIG ZOF EE SIGN NAME IN FULL•ABOVE SIGNATURE LINE CARRED ON iW PERSON OFTHE HOLDER WNEH ENGAG]TNERS•'RgNT THUMB PRINT ED N THIS OCCUPATION. C W-2.87.81428+ .000 00 00 � // / / / ///../. / / •fit•. �\ .�;i:.,';r:. �:: � � �' �/' // / /' // ���/ / // �/ / � 00 , •� �.;`•rix oo, ii TO Q 4 oe TI, / � � •��t•3t:,�':• + a 00, �.40.41' /`i 100, 01 wo .01 111001, IOU tot 01- � � /rte''' �/ '�:��•i :,''t•r': �` _ ����'— i .41 00 173 71vF 3-1 w/0//.00 99.00 '11 j.,.Li.,�• 1 .01 ,ADT o�- / ' A� : [1•.�. r' .- __T_ .-.._.a m:ai,.a:�r.(..,. - • � :•.rs-a ..,.. -r m N s D R TM ASD ov,a� moss. w F BUILDING DEPARTMENT S URV,eYkD FOR 6pto-;v „ SCR+I.T 1 • �d� STowSRS AssocloresrNc / ✓Q R�eG .LANG SuRV�YOR,9 Trr�Pj'YnF '� '�1�./ ,93 MirTNLJxN, MRSS. f caa GFORr;F cyG rl c m s C o RICHARDSON t Tl No.240'.)2 � )Ocvs SHOW,/ OX//vG Y .Lo-r // s HowN C/v A/o qrN fARCSZs.sxx Rzc /5 rRY o,- PAC , 8,oa o di � � N T/NC \ A Mf-ot1ND�9T/ON N � Q c \ Z C7' W ! 0 0 7�;r A W i �D. DD N0RTJ{ Town of dover 0 No. nn , ^�S0 dower, Mass., 19 COCHICHEWICK G, 7 �ADRCJATED PPS\ eC '9S l BOARD OF HEALTH Food/Kitchen . PERMIT T D Septic System `�r BUILDING INSPECTOR THIS CERTIFIES THAT........ . ... .4.44...WAY...*VV..��..��..y�r �� Foundation. BUI has permission to erect.9160.AA> . buildings on ...!y,�../Y,Qr.�., ,1<< ./�� Rough to be occupied as.41.410f.&Af..F.0.. 01.y..o 444.604wc.. 0W.41�. 1� Or V4 provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PERMIT FOR FOUNN ON ONLY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PAIS 114.8-S. r Rough PERMIT EXPIRES IN 6 MON L S. Final aA1 `�...�E D��U. v v So,a ELECTRICAL INSPECTOR UNLESS CONSTRUCTION START ' Rough PERMR FOR FRAME/BUILDING ' ... .... ............ Service r 5 31, S�jj BUILDING CTOR FEE DATA. S ' Final I ccupa cy Permit Required to Occupy Building GAS INSPECTOR gh Display in a Conspicuous Place on the Premises — Do Not Remove F nal No Lathing or Dry wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL ��� c+fr.3uzDRIVEWAY ENTRY PERMIT '�I �1►N.I r:.i1 II1 Iy(.1R )OVER 13Lnl.l)wc� '•.:-•:.:•�- �;.' 1!;i4;J( II11•ll•tl'.1111{a c 1 11VI:;II IN 1 11' (l i) i l l il4!i•l i i!i I�i.Ai\'N!N(i PLANNING & (;t)I11l+WN11'1' 1)!'s�'1:1.()l'l1I1 N'1' I:.�I;I N1I.I'. Nl:lat )N. I )lltla:l( )it ' CHIMNEY APPLICAH014 ANO I'L131If ' ATE �' PI:RNI'L'. # )CATION ��c UN ER'S NAME: 1I LDER IS NAME: C4L� kSON'S NAME: . %SON'S ADDRESS: .SON'S TELEPHONE: \TERIAL OF CHIMNEY: IrERIOR CHIMNEY:_- �(�� EXI ERIOR C11IMA-Y: IMBER AND SIZE OF FLUES: II'I II CKNESS OF HEARTH: �,C cIbiney al. OiAenCace can(anul to .lite. Acqu.i/tef►lell.t:3 u( -t.lte cul/e and have :tuCc'.3 and guta,tiou been n.eeet.t►ed: -- I .TE: GNATURE OF MASON: ' i :RMIT GRANTED: FEE I ' 'BERT NICETTA 'ILDING INSPECTOR — SPECTEO: -- 'MARKS: - I — SOLLU BLOCK RLQUIRE D THIS PERMIT MLISr GE UISPLAYLU 014 IIIE PRL:IAISLS CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 036 Date OCFOBER 5, 1993 THIS CERTIFIES THAT 46 HOLLY RIDGE ROAD Lot 11 THE BUILDING LOCATED ON � ) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/2-CAR GARAGEIN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. -aJlPTy CERTIFICATE ISSUED TO Kelloway Homes Inc. 136 Castlemere Place L }� ADDRESS North Andover, MA ow n '•�,,,,' Building Inspector t_� may:, plsT�.� ® ® 11I.N0 -I .' over kl 0"' �NorhxAndover, Mass., Ar.8 //-19.93 AD RA TEDWa 1 � BUILD l BOARD OF HEALTH Food/Kitchen . PERMIT To Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ki.444...W A y...��.:.�I..��.. �r ��....................... Foundation has permission to erect.&)0801 buildings on �/�.eQ.4.I.,XIAV.�.�� .... ................. Rough to be occupied as.t��.l�l+�.Ir. ... .1!�..�!�.I.. .y..�1�. �•.1A��.. i .�r,�.11�ii� /r � Chimney �� '�" :3 provided that the person accepting this permit shall in every respect conform to the terms of the application on file in A u' (1 ._x —7-3 Fina this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of ,_� Z'- I<3 Buildings in the Town of North Andover. PL B G SPECTOR PERMIT FOR FOUNOM ONLY �_�) c- VIOLATION of the Zoning or Building. Regulations Voids this Permit. REGULATED BY P1ARL 114.8-S. o � PE MFF Ef�_C-'II FS II�,I C \40� 'T .I DATE�- I J final - /f �.JI�.]_i_I;�� ��._����;,> I. �R�J�_- l rl�_�l'�� � I���_�� � <''J'`� `� ELECT ICAL INSPECTOR MME/BUILDING -. � Rough�� PERMIT FOR MME/B NG ....... ..... ..... .. ... .. .............. Service �?j BUILDING CTOR Final A� DATE: S ' FE� �---—�- t 1 { � ici ., r� tri C�cCtc I�l�ilc��ll�J CCLII C_I1C�' �� 7"111[- _.-( l G S INSP CTOR Display in a Conspicuous Place on the Premises — Do Not Remove s No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIR PARTMENT '[INA � N'r '� � 1_)k-;")/ Burner ;� PLANNING L 3�� �' CONSERVATIO � �� FNA A- Street No. i ?�- J \ Smoke Det. SEWER/WATER • T=4rNAL BOO e d23 z�zDRIVEWAY ENTRY PERMIT � < < Date. . . .. . . p',"•o°TM,tip TOWN OF NORTH ANDOVER 0-0 PERMIT FOR PLUMBING w' ;,SSACNUSE� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . .Ik. r plumb in in the buildings of . . .."t.�. .1 �vCit� firs d at . . . . . . . . . . . . . . . . .y . . y . . . . . . . .. Nort Andover, Mass. Fee. . . . . . . . .Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBIN INSPECTOR Cheek # V 5573 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location G 1.(„11 Ole '`" Owners Name �iu� ��� Permit# h Amount d Type of Occupancy t New ® Renovation ® Replacement � Plans Submitted Yes ® No FIXTURES z cn Ln w aGn Cn a Wl mill ISS� 2n FUM -31M>L 41H FUM 51HRIM 611H MOM 7M R"1111 gUiFLOCIR (Print'or type) 9` / /� j Check one: Certificate Installing Company Name G✓ /-� ® Corp. Address 5/ �-I vG� ;r�iX ® Partner. lCclLAmo D!Jr7c, ,r s L� Business Telephone, -7f is3 S 0--Firm/Co. Name of Licensed Plumber: Insurance Coveraye: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Q Other type of indemnity El Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner hereby certify that all of the details and information I have submitted(or entered)in above pplication are true and accurate to the best of my knowledge and that all plumbing work and installations performed under P 'Issued for this application will be in compliance with all pertinent provisions of the Massachusetts lu C Chapter 142 of the General Laws. By: igna 0-T Ll um Der Type of Plumbing License Title ����� []----journeyman City/Town License NUMDer Master � Journeyman APPROVED(OFFICE USE ONLY Date.. . ..� ® 3... .. NORTH Of .,o ,ti0 o? TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �,SSACHUSES This certifies that . . . . .u! IlS f�w w. 6 h.. hast-permission for gas installation . . � 7 in the buildings of �.�. . . . d.:/. . . . . . . . . . . . . . . . . l� � ti at . . . :��i. . .,�P. .�. . .� . . . . . . ., North Andover, Mass. Fee. . fl.: . Lic. Nolo-.1 Q1.��Z1 P.4,t(C, . GABS INS ACTOR Check# 3 3 cf I7 4340 i 6 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FfrnN-G--- (Type G— --(Type or print) NORTH ANDOVER,MASSACHUSETTS Building Locations % H���y �1 Permit# (09 Amount$ o? �'l ny++-. Sl' Owner's Name �u � New Renovation Replacement Plans Submitted k w � c w o a z o w Q O O w� w m x x �a ami x > U I w a o a 0 H o SUB-BASEM ENT BASEM ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH. FLOOR 6TH. FLOOR 7TH . FLOOR 8TH . FLOOR all I I I I I (Print or type) r �I } / Check one: Certificate Installing Company Name l F- El Corp. Address �f U e.r FlPartner. �G W�GS�,c421a Business Telephone Q]rg �5�y r 3 �Firm/Co. Name of Licensed Plumber or Gas Fitter yic L L.1 INSURANCECOVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes M� No o Ifyou have checked M,please indicate the type coverage by checking the appropriate box. Liability insurance policy [� Other type of indemnity ❑ Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. ��- Check one: Signature of Owner or Owner's Agent Own gent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of m knowled e.and that all plumbing work and installations perform under Permit sued for this Y g P g Pe s application well be m compliance with all pertinent provisions ofthe Massachusetts Stat ode d hap 142 of the General Laws. f By. Signature ofLicens lumber Or Gas Fitter Title 'x 0-Plumber M -//02 0 City/Town Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) Journeyman Location No. `l � �' Date / (� NORTh TOWN OF NORTH ANDOVER h 9 Certificate of Occupancy $ Building/Frame Permit Fee $ J�cNusE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 14189 /JBuilding InsOctor r{ � TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .O This Sectioia for Official U9e 0a1 BUILDING PERMIT NUMBER: DATE ISSUED: X SIGNATURE: CLQ Building Comrrlissionerfln§eEtor of Buildings Date Zr SECTION I-SITE INFORMATION 1 O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number d ' 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Nstrict Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re uired Provided 1.7 Water S1yM.G.L.C.40. 14) 1.3. Flood Zone laformation: 1.8 Sew Disposal System: v Public ,SPI Private ❑ O°e Outside Flood Zone Municipal On Site Disposal System ❑, --I SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT RI 2.1 Owner of Record Y ll im p Name(Print) Address for Service: 0 Signature Telephone 2.2 Owner of Record: C Name Print Address for Service: Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Keg NEtl, R, yleed Sgt S Licensed Construction Supervisor: 2 �� 77- ^�� A nN License Number M Address �f �f Z J/ Z�O Expiration Date ic Si Telephone r 3.2 Registered Home Improvement Contractor Not Applicable 0 Vee, ' ��s auc�� d✓ �og �g3 rn Company Name f✓ vE ,j t . o Registration Number r Address !� _ r .�^ Z Expiration DZ Y ti rc Te_phone o ' SECTION 4-WORKERS COMPENSATION(NLG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......Fly No.......❑ SECTION 5 pescri tion of Proposed Work checkall a Iicable Addition ❑ New Construction ❑ Existing Building ❑ Repair(s) ❑ Alteration s(s) Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: tv rZ z SECTION 6-ESTIMATED CONSTRUCTION COSTS OFFICIAL.USE ONLY Item Estimated Cost(Dollar)to be Completed b tnut a licant ' (a) Building Permit Fee I. Building 2 9,©� Multi 3lier R6Total cal (b) Estimated Total Cost of Construction Building Permit fee(,) X(b) in nicalIIIVAC otection Check Number (1+2+3+4+5 SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owri r/Authorized Agent of subject property I, to act on Hereby authorize My behalf. in all matters relative to work authorized by this building permit application. Date Si nature of Owner SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION , ,as Owner/Authorized Agent of subject 1, V �Etk V_ 1- E property tatements and information on the'foregoing application are true and accurate,to the best of my knowledge Hereby declare that the s and belief G c A, nature Date Mme T - d of vner/A .ent SIZE NO. OF STORLES BASEMENT OR SLAB I 2 D3 S1-.E OF FLOUR TIMBERS RSP�ANNSIONS OF SILLS NSIONS OF POSTSMENSIONS OFGIRDERS T1IICKNI?SS I(il l'f OI I OUNDA'1'ION X SVIE OF FOOTING MATERIAL OF•CI-IMINEY 1S BUILDING ON SOLID OR FILLED LAND IS I3UU,DING CONNiTTED TO NATURAL GAS LINT The Commonwealth of Massachusetts Department of Industrial Accidents la officeol/nyestiglooffs 600 Washington Street • - i1 Boston,Mass. 02111 Workers' Compensation Insurance Affidavit W1- ant to orf'm on: G lease .Ri ;w at L name: 0ON.STi2t_1G.-fiDrl lc SLC NN CtLi Ir.�Eni 1 location: -7—/ ./7 e-ku i 1 f1 L/6:- ciri ,b 19NQ 6 Uln �`!1, phone 92 G 11-S401 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity C3 I am an employer providing workers' compensation for my employees working on this job. company name. address: city: -. Rhone# insurance co p lieu# ,b., f •� i >�.. �' �eY� [ am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'.compensation polices: company names address: Cite: Dhone# insurance co. policy# ,. company name address situ: phone# insurance co o) y# Ati'rct�adilingrral s1►eeE tf�neccssar2jz'"�`. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the ins and penalties of perjury that the information provided above is true and correct Signature k'/EDate �r p Print name NN E t� • /� c E �' _._ ._. .._._. . phone# �''7 [9" 7,/'szo SVofficial use only do not write in this area to be completed by city or town official city or town: permit/license# nBuilding Department pLicensingBoard - - 0 check if immediate response is required oSelectmen's Office pHealth Department contact person: phone#; 00ther (mised;ros PIA) ,� ;�. ✓liP, "�anvrnoar�uea� a�✓��aua�,�uu�vlld BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR p Number: CS 058245 ^ry " Birthdate: 03/24/1943 as Expires: 03/24/2002 Tr.no: 18312 Restricted To: 00 KENNETH B KEEN _ 21 HEWITT AVE N ANDOVER, MA 01845 Administrator HOME IMPROVEMENT CONTRACTOR Registration: 108383 Expiration: 8/18/02 TYpe: 08A KEEN CONSTRUCTION CO. Kenneth Keen 21 Hewitt Ave ADMINISTRATOR No. Andover MA 01845 I' r KEEN CONSTRUCTION CO. 21 HEWrrF AVE. N.ANDOVER,MA 01845 (978)691-5201 fi"t- II Hillman,Laura&Andy Appendix A 46 Holly Ridge Rd. Contract# N.Andover,MA (978)685-1426 Remodel Basement: • Frame,insulate,&sheetrock approx. 875 sq.ft.of basement • Tape&seam walls _ • Skim textured walls in stairway • Create @ 7'x 4' lh bath • Create closet under stairs and near water meter • S&I (4)6 panel smooth masonite doors • S&I approx. 75 sq. yd. of carpet($1350.00 installed carpet allowance) • S&I approx. 35 sq.yd of vinyl flooring($770.00 installed vinyl allowance) . • S&12'x 2'revealed edge suspended ceiling • Paint walls&trim(2 coat finish,neutral color)($1800.00 allowance) S&I door casing to match existing in house S&I primed"speed base"base molding • S&I one storm window Electrical: • S&120 recessed ceiling light fixtures(switched on dimmers) • S&I outlets&switching to code • S&I one phone outlet&one cable outlet • S&I two zones of electric baseboard heat Plumbing: • S&I standard toilet&vanity/sink in%2 bath • Plumb in all fixtures • Move water meter down as much as possible Price does not include cost of permits. All extras to be paid upon ordering. Total price: $23,900.00(twenty three thousand nine hundred dollars) Payment schedule: $1000.00 due upon signing contract Cgi lrm - 9 _ l..L,pa $7000.00 due first day of work -C 1L'O 119 7 $8000.00 due at completion of framing&rough electrical $4000.00 due after sheetrock is hung $1780.00 due at completion of work except flooring $2120.00 due at completion of contracted work Customer �y nth .Keen Date Date : I : I, i =-- - L I - i I I i l i i i I i I I I ; ' � I 117 I i I! I i - --- -- I , , : NORTH Town of4 over O No. ~ X 70 C'0 LA E o lover, Mass., O COC MIC KEWICK V ADRATED P? C7 S E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System w� ^ BUILDING INSPECTOR THIS CERTIFIES THAT..a�l.�[...... ��..IMA!v. .f►� N lop,1.w.......1,.e Foundation has permission to erect...�1N./.$.�l.............. buildings on .�i.�......�n.�� .... � r.....R�............... .... Rough � RR to be occupied as...... ..... 1$ II V b* Mfe........... ........r .......�'w...'�..t......41.� Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. V% 36 p07t ) Os& * OW PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR TS ELECTRICAL INSPECTOR "b Rough 001 001 .............to.....Wo............................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry (Nall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. �i SEE REVERSE SIDE Smoke Det. N° 2611 Date.. .. ��c! NORTI{ TOWN OF NORTH ANDOVER A PERMIT FOR WIRING : � �,'••,r,o SS�CHU This certifies that r ...... c .......�.............,,�... has permission to perform ................. ............Q ...... ........................ wiring in the building of... ....................................................... at...........:...... ........ _,,�.� ...... . r .. ...............No h Andover,Mass. Fr� ....... ..o..�..�....... ..... ...... Lic. .......................... ................... .. . lw ELECTRIC PECTOR Check # Vel WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 7E09AM�i L7H0FMi S&4QR4! 'n' Office Use >only DEPARTALQVf0FP0L &4FM Permit No. 1p BOARD 0FMEPREVENT"NRE9JTATl0MR70R 12010 Occupancy&Fees Checked APPLICATION FOR PERMIT TOWORK S PERFORMELECTRICAL ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) �ce Owner or Tenant YA � 7,_ , ILAV rok�'hl,'111n&II Owner's Address V Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building IrlIn J.5 n p F(- Sot 6to. M)0_m Utility Authorization No. Existing Service Ampsr'J/ ` olts Overhead 1:3 Underground No.of Meters New Service Amps / Volts Overhead J= Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures t95 Swimming Pool Above Below Generators KVA f, ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Q Municipal � Other Connections -No.of Water Heaters KW No.of No.of \` Sians Bailasis TJo.Hydro Massage Tubs No.of Motors Total HP OTHER IrrnratoeCoM�Purstarto�lhetaatseana�afMassad>t>se t,atadlLaws lhmeaamatLnb+ldy6>Ssua=Pbbyntcl&gCcml>lk Co►s'dgeQ star�a}malat YES Rf NO 0 Iha%eabnjWdvdidpoofofsmclotheO im YESF­J If)(uha%ec miodYFS,pimeZdc*thetAxofw aagebydakirgthe wpuprialebcDL r."71 BOND p oTHER p Fkme ) Z Ir6' l /7Expialim DaleQ Estimated VahleefEleci is 9 Work$ Wod<lDsaa q— 2 2-ay ktspm imDaieRegtlesWd Rough . � Fit sigmduda�iePa ubi es FIRMNAME b l� E LioatseNn a�l 7a 6C)—.Lioat9ee�0� Cskd INA l _ S021" Lioen9eNo 2' d Z' � q a J� A � e r <j wA, yAJ Q30 � I Alt Ted OWNER'S]INSURANCEWAIVER,lanawaedittheLimedom not themsmxemeageantsskmtaleglmvakrtast *zud' 4mmduseltsCanal Laws andthatmysgnal mcnthispamitapp)icabmwaiAsthism*Eanem (Please check one) Owner Agent tQ Telephone No. PERMIT FEL��`. � Date.//:—.�. . . . . . N2 4616 TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING SSACMUSE� l � AF This certifies that ��: . 5. . • • • /.. . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . C. . . . �- .t !. . . . . . • . . . . . . . • • plumbing in the buildings of . .t'� '. �.< .. . .... . . . . . . ... . . . . . . . . . . at . . L.7 .G��. . . . . . . . . . .. North Andover, Mass. Fee.d. cc./. . . . .Lic. No.. .7?J . . . . . . . . . . . 1 ? -{-Grp . . . . . . . . . LPLUM131NG INSPE TOR Check # 6j iL S WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS -Dire Building Location 9404(111Y 14401�- OwnersName Permit# Amount Al- A00df e Type of Occup cy New Renovation Renovation Replacement Tans Submitted Yes No FIXTURES r z Cn w F w N Q a a 4 CL W W d rn WA ,W.� 0; Q '.� w F- Cn W C0.n z Q d F ►7 A A Z SU HM H�4�IVIlVT MH M rD FU= 3M HIM 4M ROM r 5M FI M 6M HJ" 7IH HIM gm FIOQ2 (Print or �� � ` Check one: Certificate Installing Company Name c '11A" ' �✓b Corp.: . Address 2 A'C F4Z1W'v Partner. ; k4<5 / litA Business Telephone q 78�2-s(o - F46 ? Firm/Co. Name of Licensed Plumber- Insurance lumberInsurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ❑ Liability insurance policy Other type of indemnity ❑ Bond Insurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one of the above F three insurance Signature Owner El Agent El I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations perfo Permit Issued for this application will be in compliance with all pertinent provisions of the M husetts S to ode and r 142 of the General Laws. By: Signature-171 LicenseaSignature-171Lum er Type of Plumbing License Title /Q 15-3 City/Town License lNumoer Master ❑ Journeyman APPROVED(OFFICE USE ONLY Location � No , �_'L � # Date � o< joRT11 , TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building%Frame Permit Fee $ cHusEtt� Foundation Permit Fee $ Other Permit Fee $ .Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 7d /building Inspector. ;qV t'd 4 5.9°2 01/06797 .i2 , Div. Public Works 70.on PERMIT NO. OV APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4J0.� LOT NO. ® 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE — ZONE SUB DIV. LOT NO. —I 3 LOCATION Asrl C O�/v PURPOSE OF BUILDING 4 f SC•reC Al2-pC-X OWNER'S NAME fy.��,, n f-S �/ -f/� Q NO. OF STORIES t SIZE{' OWNER'S ADDRESS 7L //� /1©//0 v I `d-%&=/ J�" I BASEMENT OR SLAB ARCHITECT'S NAME lo, fd SIZE OF FLOOR TIMBERS IST Yt� 2ND 3RD BUILDER'S NAMEa ��� n /.��_� /ed`z SPAN 13 /��/ (��/1 �/ �1• r! DISTANCE TO NEAREST BUILDING / DIMENSIONS OF SILLS DISTANCE FROM STREET � •' POSTS DISTANCE FROM LOT LINES—SIDES Q^ 4 p�il REAR fOU 'T GIRDERS AREA OF LOT �'� S )_-Al• tl FRONTAGE 1 rq.I-� HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW ( V SIZE OF FOOTING / ��CX IS BUILDING ADDITION \/p� MATERIAL OF CHIMNEY N IS BUILDING ALTERATION / C.• IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ' / ["` IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST fC_ PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR D T FILED 30 BUILDING INSPBCTOR SIG TURF OF OWNER OR AUTHORIZED AGENT FEE �D' 1 Q OWNER TEL.# '�MQ� SJ2 l 9 9 PERMIT GRANTED �`.•�KC�1 -/� CONTR.TEL.# �� Z!5�,RL CONTR.LIC.# 11-10 0 H.I.C.# 6 �/ lob.._- �1 GL5•�2 � I BUILDING RECORD 1 OCCUPANCY 12 INGLE FAMILY siORIES THIS SECTION MUSTSHOW EXACT DIMENSIONSOF LOT AND DISTANCE FROM I MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION E3 INTERIOR FINISH - CONCRETE _ 3 1 2 13 ' CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T' AREA _ 1/1 1/1 3/ FIN. ATTIC AREA _ NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 1 9 FLOORS CLAPBOARDSB 1 2 3 - DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD"'D - ASBESTOS SIDING COMMCN _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME gR`l_ff7i5F4 MASONRY ATTIC STRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIORI� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) 1 GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT A SHED WATER CLOSET , ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING i TAR 8 GRAVEL STALL SHOWER ROLL ROOFING I MODERN FIXTURES . TILE FLOOR TILE DAOO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 8 COLS. STEAM ''• r STEEL BMS: & COLS. HOT W'T'R OR VAPOR ^` WOOD RAFTERS AIR CONDITIONING �R ' RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T2nd _ ELECTRIC 1st 13rd NO HEATING y o 6 � FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. . This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements... ****************Applicant fills out this section***************** APPLICANT: 17)r /✓ y Phone LOCATION: Assessor' s Map Number �ac'i Parcel Subdivision Lot(s) Street o/�,/ , _ St. Number *************************C*�Jfficial Use Only************************ RECO DATI N F TOWN GENTS: 1b JTqhN& Date Approved _ Conservation Administ for Date Rejected Comments V4 , o0 Date Approved Town Planner. Date Rejected Comments Date Approved Food Inspector-Health Date Rejected S u w� Date Approved q6 tic Inspector-Health Date Rejected Comments Public Works - sewer/water connections driveway permit Fire Department Received by Building Inspector Date �_�o�,4e.S -, a88 -N o6 •p4/. - 8 -Y8 Q .P6 fs Z '- 4b N v s- N �t -3 G.! 0 107- �ivr .t srx�� 4 .Cyd sn�1 �\ � N3f+/1 els 7is-Af 01• �t� N reriol :� �67%t'/S - �3iI ff g•�CZ I � � ; o f 4 • ` f.aNZ ' lot a �1 ` r 1 ,f �.� � � sr/ •'ted 3s�~ YLS "'� (, �, Mor PP,6 •62/ -�etd a�,d ra'11 aide 1. bx t7 U' j ;V•1d loop • Cot Ar -f 41 -------------- -7V OV PC 049 �, �., _ v .. � - � :, qJ ,o `]D ti LI//6 japCA t FraipQ Ga xa O,t'.F FA / Av 'nr.a i t t' �! ?;, • --CO vix'a AJ �Dle v �15 r'-ow ecu ----------- em dc P L ry ..��OR Til F�1 N0 O �/Eft Mom) S S SUR\/EYEO F-OR S T El�'yE G Sw EWISON SCALE ST'OWERS FissOCIATES INC . ��UL Y 1993 ' RE•o • LAND SURVEYORS ME'THIJEN, MABS v O 50. 100 200 P��N OF Mgff I CERTIFY THAT THIS PLAN HAS BEEN GEORGE 9�y PREPARED IN CONFORMITY WITH THE RULES M. AND .REGULATIONS OF THE REGISTERS OF RICNARDSON DEEDS OF THE COMMONWEALTH OF MASS, No, 24052 �eGISTER� SURvDATE REG, LAND SURVEYOR / � /d/V/�I//VQ BOiaRD �POROYgJ, UNOIiIq SU O ,0 /V/g /0" CON' ,90A " NOT RF4 ~�J `moo /'✓oRrN JQNoavr I; r-,4 +1 vN/NQ E� oARo r-• i r4OR y ToVM of over No.OEC * 7 - 01 LAKE dover, Mass., Z— 19 '9�COCMICME WICK ' 1• 0' 'A E D P`y 'Cy �G BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System //M. BUILDING INSPECTOR THISCERTIFIES THAT f..................................................../. . , .r........................................................................ Foundation p .. buildings on......1.6 has permission to erect.............:-1---.............. .. ....... .. ..0./.�y..........�..l..l�...�.E........�'�....t�� Rough to be occupied as l .....?�/6.........�'c.l�'�,�!t� hd 2 � ��....?.z..Y....�..4E� ........ Chimney p' ............... `� provided that the person accepting this permit shall in every respect conform to th terms of the.a'ppIication on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and.Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR. VIOLATION of the Zoning or Building:regulations Voids this Permit. Rough ° Final : PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST S ELECTRICAL INSPECTOR. Rough ..................................... ........ .. .. ... ............................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises - Do Not Remove Rough Final ' No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. 'Jf Smoke Det.